go back

Pennsylvania rates for HCPCS 35121

Dir Rpr Aneurysm Hepatic/Celiac/Renal/Mesenteric

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
$1,623.02 / $1,786.06 / $2,184.46
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
$1,370.00 / $2,158.89 / $3,104.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.95 / $2,089.33 / $3,225.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,339.91 / $2,339.91 / $2,494.21
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
$1,566.92 / $1,921.77 / $5,553.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $2,576.40 / $3,806.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.76 / $2,097.71 / $3,255.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.47 / $1,521.47 / $2,003.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.53 / $1,551.90 / $2,003.03
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
$1,555.58 / $2,018.12 / $3,221.09