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Pennsylvania rates for HCPCS 01990

Physiological support for harvesting of organ(s) from brain-dead patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $575.44 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $57.54 / $851.14
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $457.09 / $676.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $660.69 / $1,148.15
Johns Hopkins Employer Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Johns Hopkins Employer Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $602.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $524.81 / $676.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $562.34 / $912.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $22.39 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $57.54 / $79.43