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Pennsylvania rates for HCPCS 33930

Donor Cardiectomy-Pneumonectomy

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
$1,875.00 / $1,875.00 / $2,400.00
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
$1,131.83 / $1,174.55 / $1,174.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.00 / $385.00 / $595.00
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
$1,875.00 / $1,875.00 / $3,315.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.00 / $5,496.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.00 / $595.00 / $595.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,529.35 / $4,529.35 / $4,529.35
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,529.35 / $4,529.35 / $4,529.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,322.00