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Pennsylvania rates for HCPCS 0200T

Perq Sac Agmntj Uni W/Wo Balo/Mchnl Dev 1/> Ndl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $2,747.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.35 / $1,886.39 / $2,659.27
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.96 / $1,785.09 / $1,852.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.19 / $2,200.19 / $2,200.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250.15 / $2,472.94 / $9,162.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.01 / $3,149.38 / $3,960.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,427.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.08 / $1,886.91 / $2,925.47
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.19 / $2,200.19 / $2,200.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250.15 / $2,472.94 / $9,162.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.91 / $458.38 / $1,745.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.91 / $1,745.45 / $1,898.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.44 / $1,728.51 / $3,153.70