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Pennsylvania rates for HCPCS 0643T

Transcatheter L Ventr Restoration Device Impltj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $6,432.00 / $10,805.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $4,231.00 / $10,846.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,232.22 / $4,966.00 / $7,278.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $7,175.00 / $12,181.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $5,958.00 / $10,846.00
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
$4,388.03 / $4,966.00 / $7,278.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,322.00