go back

Pennsylvania rates for HCPCS 33017

Perq Prcrd Drg 6yr+ W/O Congenital Car Anomaly

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $6,012.00 / $10,527.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $6,832.00 / $12,181.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.23 / $237.23 / $276.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,322.00