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Pennsylvania rates for HCPCS 22100

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Crv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.29 / $3,142.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.89 / $871.79 / $1,396.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,393.00 / $11,479.00 / $18,724.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.32 / $991.38 / $1,673.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.20 / $1,086.20 / $1,086.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.73 / $1,066.89 / $1,765.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.83 / $1,610.37 / $1,989.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.89 / $953.67 / $4,423.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.00 / $870.00 / $1,925.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.20 / $1,086.20 / $1,086.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.24 / $1,083.42 / $1,821.64
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.00 / $843.78 / $843.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.00 / $843.78 / $898.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.09 / $1,034.51 / $1,649.29