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Pennsylvania rates for HCPCS 22110

Prtl Exc Vrt Bdy B1y Les W/O Spi Cord 1 Sgm Crv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.59 / $4,048.00 / $8,451.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $25,716.00 / $39,341.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.88 / $1,205.88 / $1,205.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,906.75 / $6,906.75 / $6,906.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.59 / $4,993.00 / $10,247.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.88 / $1,205.88 / $1,205.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.11 / $1,039.32 / $1,039.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00