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Pennsylvania rates for HCPCS 0686T

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,416.00 / $4,534.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,337.96 / $3,549.42 / $4,328.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $4,393.89 / $25,927.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,665.76 / $6,665.76 / $6,665.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,019.93 / $59,019.93 / $59,019.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.00 / $3,336.30 / $4,573.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,082.80 / $5,082.80 / $5,082.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $4,393.89 / $24,671.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,665.76 / $6,665.76 / $6,665.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,301.63 / $4,273.05 / $7,466.50