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Pennsylvania rates for HCPCS 42426

Exc Prtd Tum/Prtd Glnd Tot W/Uni Rad Nck Dsj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $3,839.00 / $8,113.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,004.32 / $3,004.32 / $3,004.32
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,916.19 / $7,916.19 / $7,916.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,783.20 / $1,783.20 / $1,783.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.97 / $1,325.97 / $1,900.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.00 / $2,715.00 / $4,815.00