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Pennsylvania rates for HCPCS 49010

Expl Retroperitoneum W/Wo Bx Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$979.85 / $4,676.00 / $9,211.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $26,041.54 / $39,341.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$102.94 / $102.94 / $102.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,069.23 / $2,069.23 / $2,069.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,761.00 / $8,427.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.90 / $910.90 / $910.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$102.94 / $102.94 / $102.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.33 / $900.33 / $900.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.00 / $3,331.00 / $6,000.00