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Pennsylvania rates for HCPCS 22554

Arthrd Ant Interbody Min Dsc Crv Below C2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.13 / $4,475.00 / $10,854.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.48 / $1,438.48 / $1,438.48
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$142.94 / $142.94 / $142.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.46 / $7,426.04 / $70,400.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,316.13 / $5,350.00 / $10,854.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.48 / $1,438.48 / $1,438.48
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$142.94 / $142.94 / $142.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,235.77 / $1,235.77 / $1,235.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $4,789.00 / $9,631.00