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Pennsylvania rates for HCPCS 22868

Insj Stablj Dev W/Dcmprn Lumbar Second Level

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,371.00 / $7,629.00
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
$275.48 / $275.48 / $275.48
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$27.03 / $27.03 / $27.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,326.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.48 / $275.48 / $275.48
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$27.03 / $27.03 / $27.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.45 / $237.45 / $277.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $3,742.00