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Pennsylvania rates for HCPCS 28295

Corrj Hlx Vlgs Bncty Sesmdc Prox Metar Osteot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.61 / $2,747.00 / $7,317.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.85 / $1,017.85 / $1,017.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,447.66 / $15,089.40 / $19,592.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.51 / $2,679.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.85 / $1,017.85 / $1,017.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.85 / $595.04 / $1,030.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00