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Pennsylvania rates for HCPCS 36904

Perq Thrmbc/Nfs Dialysis Circuit Img Dx Angrph

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,264.00 / $8,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.52 / $1,684.72 / $2,395.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,850.00 / $16,455.00 / $36,032.05
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.20 / $2,691.60 / $3,166.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.58 / $816.00 / $3,046.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.16 / $2,698.16 / $2,787.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,555.66 / $11,555.66 / $15,484.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $5,350.00 / $10,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.52 / $1,643.84 / $3,022.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.87 / $727.74 / $3,125.56
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.06 / $816.00 / $2,949.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.29 / $385.08 / $1,869.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.29 / $385.08 / $1,869.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,584.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.61 / $2,169.07 / $3,690.69