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Pennsylvania rates for HCPCS 27095

Injection procedure for hip arthrography; with anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.61 / $1,633.00 / $8,451.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$741.00 / $741.00 / $1,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.66 / $211.74 / $356.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.48 / $300.39 / $494.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.81 / $138.81 / $138.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.76 / $188.67 / $457.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.86 / $455.83 / $600.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $1,261.59 / $3,521.25
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $118.00 / $118.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $2,266.00 / $8,017.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$741.00 / $741.00 / $1,482.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.53 / $231.95 / $535.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.80 / $419.00 / $699.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.76 / $138.81 / $138.81
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.35 / $188.67 / $456.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.03 / $264.08 / $443.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.03 / $297.33 / $327.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $1,078.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.67 / $343.56 / $565.26