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Pennsylvania rates for HCPCS 45136

Exc Ileoanal Rsvr W/Ileostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $3,839.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.34 / $1,813.88 / $2,271.03
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
$1,765.88 / $1,832.51 / $1,832.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.92 / $2,168.77 / $3,769.03
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,912.64 / $3,912.64 / $3,912.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.79 / $2,737.72 / $3,500.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.74 / $1,859.84 / $5,523.72
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,753.10 / $1,753.10 / $1,753.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,265.80 / $4,461.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.86 / $2,165.69 / $3,769.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.92 / $1,736.88 / $1,736.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.92 / $1,736.88 / $1,821.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.80 / $2,065.73 / $3,571.31