go back

Pennsylvania rates for HCPCS 36261

Revision of implanted intra-arterial infusion pump

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $2,868.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.04 / $456.87 / $567.12
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.52 / $429.12 / $429.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.38 / $507.90 / $810.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.94 / $652.94 / $672.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,654.00 / $8,451.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.04 / $503.98 / $2,467.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $497.90 / $1,055.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.21 / $511.50 / $804.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.59 / $401.03 / $401.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.59 / $401.03 / $425.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.00 / $3,475.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.44 / $472.96 / $806.70