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Pennsylvania rates for HCPCS 0613T

Perq Tcat Impltj Intratrl Septal Shunt Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.79 / $6,012.00 / $10,527.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.80 / $1,119.60 / $1,316.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,570.00 / $7,646.00 / $10,557.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.79 / $7,175.00 / $12,181.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.80 / $1,151.99 / $7,197.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,624.00 / $7,278.00 / $10,557.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.91 / $1,533.74 / $2,455.82