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Pennsylvania rates for HCPCS 30210

Displacement therapy (Proetz type)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $144.54 / $281.84
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $223.87 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $281.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $239.88 / $269.15
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $173.78 / $257.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $165.96 / $398.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $275.42 / $331.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $85.11 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $134.90 / $234.42