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Pennsylvania rates for HCPCS 44136

Intestinal Allotransplantation Living Donor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $3,839.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,135.99 / $3,135.99 / $4,964.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.09 / $1,424.91 / $1,424.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.00 / $3,135.99 / $4,964.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,745.71 / $4,745.71 / $4,745.71
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,745.71 / $4,745.71 / $4,745.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00