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Pennsylvania rates for HCPCS 27369

Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.45 / $1,901.00 / $6,012.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.10 / $141.96 / $237.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.22 / $58.80 / $136.62
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
$165.61 / $171.86 / $293.25
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$239.47 / $257.80 / $396.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.84 / $156.24 / $269.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.61 / $260.97 / $344.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.87 / $489.25 / $1,688.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.70 / $48.07 / $218.48
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$471.72 / $471.72 / $471.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.25 / $1,901.00 / $7,073.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.89 / $145.96 / $394.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.00 / $161.00 / $484.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.98 / $156.55 / $265.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.60 / $45.72 / $179.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.60 / $152.94 / $194.81
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
$144.94 / $179.70 / $305.14