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Pennsylvania rates for HCPCS 01990

Physiol Support Harvest Organ From Brain-Dead Pt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $572.64 / $691.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $42.00 / $691.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.00 / $440.00 / $659.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $800.00 / $800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.00 / $448.00 / $630.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $600.00 / $600.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.35 / $680.00 / $1,152.00
Johns Hopkins Employer Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
Johns Hopkins Employer Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.00 / $440.00 / $760.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.00 / $521.36 / $641.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $496.00 / $716.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $30.27 / $42.34
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $800.00 / $800.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.00 / $455.00 / $630.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $55.00 / $74.36