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Pennsylvania rates for HCPCS 0102T

Esw By Phys W/Anes Invg Lat Humerl Epicondyle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.04 / $2,747.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.20 / $299.52 / $382.20
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
$1,249.50 / $1,470.00 / $1,470.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.70 / $395.70 / $395.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.19 / $1,442.19 / $1,442.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.96 / $474.36 / $542.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $4,761.00 / $8,427.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.20 / $299.52 / $1,426.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.70 / $395.70 / $395.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.19 / $1,442.19 / $1,442.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.03 / $255.45 / $363.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.03 / $288.12 / $363.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.75 / $321.06 / $544.27