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Pennsylvania rates for HCPCS 00918

Anes Trurl Fragmntj Manj&/Rmvl Ureteral Calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$621.48 / $621.48 / $944.99
Aetna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$257.97 / $387.39 / $944.99
Aetna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$714.38 / $925.45 / $1,771.69
Aetna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$264.13 / $264.13 / $363.19
Martin's Point
Facility/Professional
Facility
Modifier
AA
Low / Median / High Price
$621.48 / $621.48 / $944.99
Martin's Point
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$257.97 / $387.39 / $944.99
Martin's Point
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$714.38 / $925.45 / $1,771.69
Martin's Point
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$264.13 / $264.13 / $363.19