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Pennsylvania rates for HCPCS 33255

Ablation & Rcnstj Atria Extnsv W/O Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.41 / $1,792.66 / $2,231.27
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.44 / $2,114.42 / $3,053.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.39 / $2,072.91 / $3,242.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,447.71 / $2,447.71 / $2,558.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.00 / $1,931.98 / $5,958.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $1,979.10 / $3,538.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.52 / $2,082.27 / $3,242.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.11 / $1,565.25 / $1,565.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.11 / $1,565.25 / $1,640.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,508.75 / $2,008.74 / $3,223.06