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Pennsylvania rates for HCPCS 0075T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.45 / $1,048.42 / $2,459.27
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
$1,048.67 / $1,233.73 / $2,022.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.56 / $1,657.56 / $1,979.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.45 / $1,048.42 / $2,843.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.86 / $1,162.47 / $1,162.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.86 / $1,162.47 / $1,186.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.09 / $1,404.99 / $2,244.82