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Pennsylvania rates for HCPCS 38790

Injection procedure; lymphangiography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,951.21 / $3,311.31 / $17,378.01
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $2,344.23 / $8,317.64
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,951.21 / $3,311.31 / $17,378.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $309.03 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $676.08 / $4,265.80