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Pennsylvania rates for HCPCS 0696T

Bdy Surf Activation Mapg Pm/Cvdfb Leads Tm F/Up

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $36.50 / $36.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $37.76 / $45.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.86 / $70.73 / $91.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.50 / $36.50 / $36.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $37.61 / $45.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.86 / $43.44 / $75.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.12 / $52.44 / $81.19