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Pennsylvania rates for HCPCS 0165T

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
$294.39 / $752.58 / $887.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.07 / $919.07 / $919.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,786.10 / $2,786.10 / $2,786.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.66 / $660.51 / $986.90
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
$294.39 / $752.58 / $1,544.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.07 / $919.07 / $919.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,786.10 / $2,786.10 / $2,786.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.98 / $1,032.98 / $1,137.41
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.90 / $1,053.64 / $1,137.41
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
$414.05 / $543.02 / $924.27