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Pennsylvania rates for HCPCS 0562T

Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.79 / $21.71 / $69.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.97 / $18.55 / $25.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.94 / $21.94 / $21.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.35 / $28.10 / $91.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $27.72 / $41.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.79 / $30.24 / $70.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.97 / $17.79 / $25.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.73 / $470.37 / $737.28
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.94 / $21.94 / $21.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.35 / $28.10 / $91.97
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.12 / $19.12 / $19.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.60 / $25.38 / $44.93