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Pennsylvania rates for HCPCS 15570

Frmj Direct/Tubed Pedicle W/Wo Transfer Trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,623.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.97 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.91 / $1,229.91 / $1,229.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.35 / $711.58 / $882.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $2,391.00 / $6,000.00