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Pennsylvania rates for HCPCS 0577T

Electrophysiologic Eval Icds W/Ss Electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.89 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.19 / $205.01 / $276.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.88 / $2,232.58 / $2,878.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.64 / $266.64 / $266.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.19 / $212.82 / $1,544.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.88 / $1,299.33 / $2,397.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.58 / $204.58 / $217.12
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.58 / $215.27 / $217.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.95 / $250.67 / $385.48