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Pennsylvania rates for HCPCS 0115U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.76 / $963.73 / $1,137.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.28 / $245.44 / $245.44
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.77 / $214.77 / $214.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.31 / $377.32 / $913.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.19 / $1,327.19 / $1,327.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.12 / $371.72 / $680.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.73 / $1,137.20 / $1,137.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.28 / $950.11 / $1,137.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.93 / $426.09 / $913.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.19 / $1,327.19 / $1,327.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.35 / $275.35 / $302.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.35 / $275.35 / $302.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.65 / $165.21 / $498.49