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Pennsylvania rates for HCPCS 37183

Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recanulization/dilatation, stent placement and all associated imaging guidance and documentation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $6,012.00 / $10,121.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,043.08 / $15,484.57 / $19,077.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,279.65 / $6,014.00 / $11,083.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.79 / $414.70 / $5,613.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $7,000.00 / $12,076.00