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Pennsylvania rates for HCPCS 0164T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $2,371.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.75 / $792.62 / $1,142.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.08 / $989.08 / $989.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,832.91 / $2,832.91 / $2,832.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.00 / $964.00 / $964.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.61 / $885.44 / $5,958.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.08 / $989.08 / $989.08
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,832.91 / $2,832.91 / $2,832.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.31 / $1,007.31 / $1,109.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.31 / $1,085.81 / $1,109.15
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
$477.88 / $768.32 / $1,438.43