go back

Pennsylvania rates for HCPCS 34203

Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $3,839.00 / $8,427.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,427.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.07 / $912.07 / $1,014.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,584.00 / $9,631.00