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Pennsylvania rates for HCPCS 51700

Bldr Irrigation Smpl Lavage &/Instlj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.36 / $540.08 / $5,526.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.77 / $85.72 / $176.83
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$13.66 / $33.99 / $47.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.57 / $136.57 / $136.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.97 / $76.43 / $131.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $83.37 / $149.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.00 / $117.93 / $121.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.50 / $605.09 / $1,334.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.50 / $1,426.00 / $7,175.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.53 / $90.17 / $193.77
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$14.75 / $33.99 / $67.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $168.70 / $205.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.04 / $84.99 / $156.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.43 / $62.50 / $95.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.43 / $72.16 / $79.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $577.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $96.19 / $156.10