go back

Pennsylvania rates for HCPCS 00104

Anesthesia for electroconvulsive therapy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$406.61 / $448.96 / $499.49
Highmark BCBS
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$110.83 / $355.21 / $412.73
Martin's Point
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$406.61 / $448.96 / $499.49