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Pennsylvania rates for HCPCS 22112

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.03 / $4,048.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.50 / $1,121.05 / $1,688.47
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $25,716.00 / $39,341.64
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.54 / $1,191.88 / $2,083.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.43 / $1,303.43 / $1,303.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.67 / $1,333.09 / $2,260.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.40 / $1,938.39 / $2,387.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $4,993.00 / $10,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.54 / $1,244.47 / $5,677.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.50 / $1,126.50 / $2,308.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.43 / $1,303.43 / $1,303.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.84 / $1,347.22 / $2,283.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.33 / $1,113.41 / $1,113.41
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.33 / $1,113.41 / $1,187.56
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
$955.95 / $1,338.20 / $2,283.80