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Pennsylvania rates for HCPCS 49405

Image-Guide Fluid Collxn Drainage Cath Visc Perq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $2,747.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.70 / $560.00 / $5,647.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$417.86 / $417.86 / $417.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.61 / $2,981.33 / $5,505.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $2,939.23 / $8,017.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.50 / $981.50 / $981.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.70 / $560.00 / $5,647.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.32 / $238.38 / $913.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,734.00 / $4,300.00