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Pennsylvania rates for HCPCS 42894

Rescj Phrngl Wall Clsr W/Flp Or Flp W/Mvasc Anas

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 / $2,649.47
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,224.22 / $5,224.22 / $5,224.22
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
$1,834.40 / $1,834.40 / $1,834.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,649.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,781.34 / $2,313.25 / $2,313.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00