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Pennsylvania rates for HCPCS 47490

Cholecystostomy Prq W/Imaging & Catheter Plmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.81 / $2,747.00 / $8,104.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.15 / $560.00 / $2,151.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.55 / $727.55 / $727.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,484.54 / $7,484.54 / $7,484.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.98 / $3,839.00 / $8,017.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.10 / $627.10 / $627.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.15 / $560.00 / $2,151.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.18 / $321.18 / $541.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,265.00 / $3,331.00 / $6,000.00