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Pennsylvania rates for HCPCS 33258

Atria Abltj & Rcnstj W/Other Px Extensiv W/O Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.23 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.41 / $711.28 / $891.36
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
$564.39 / $837.66 / $1,221.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.54 / $818.47 / $1,297.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.13 / $987.13 / $1,025.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.23 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.41 / $773.23 / $3,328.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.10 / $732.50 / $1,606.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.99 / $831.67 / $1,380.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.36 / $626.59 / $626.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.36 / $626.59 / $658.34
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
$623.39 / $875.26 / $1,325.23