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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
$1,412.54 / $6,606.93 / $13,182.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $15,488.17 / $19,054.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $6,165.95 / $10,964.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,445.44 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $7,943.28 / $17,378.01