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Pennsylvania rates for HCPCS 0255U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.86 / $109.06 / $132.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.74 / $25.60 / $26.86
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.65 / $24.65 / $24.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $41.08 / $105.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $36.34 / $45.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.54 / $18.64 / $42.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.19 / $89.60 / $132.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.74 / $25.91 / $130.51
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $41.08 / $105.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $36.34 / $45.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.60 / $31.60 / $31.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.81 / $31.60 / $31.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $18.96 / $48.98