go back

Pennsylvania rates for HCPCS 0054T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.00 / $2,266.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.51 / $165.46 / $452.26
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.11 / $328.37 / $538.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.30 / $191.30 / $191.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.71 / $189.81 / $796.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.86 / $269.22 / $329.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,070.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.51 / $240.97 / $1,023.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.30 / $191.30 / $191.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.71 / $189.81 / $796.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.98 / $228.98 / $264.31
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.36 / $233.56 / $264.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.95 / $348.54 / $597.42