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Pennsylvania rates for HCPCS 0692T

Therapeutic ultrafiltration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.33 / $62.33 / $62.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.88 / $80.64 / $103.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.34 / $874.34 / $1,050.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.88 / $78.05 / $103.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.34 / $874.34 / $874.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.92 / $94.37 / $154.75