go back

Pennsylvania rates for HCPCS 0717T

Adrc Ther Prtl Thickness Rc Tear

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.00 / $3,623.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.00 / $1,820.00 / $7,197.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.00 / $2,843.00 / $7,197.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00