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Pennsylvania rates for HCPCS 15860

Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $2,403.86 / $7,303.73
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.82 / $120.82 / $120.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$11.78 / $11.78 / $11.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.54 / $3,921.83 / $10,642.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,371.00 / $7,799.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.71 / $120.82 / $120.82
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$11.78 / $11.78 / $11.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.01 / $104.01 / $122.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $1,078.00 / $3,742.00