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Pennsylvania rates for HCPCS 61796

Stereotactic Radiosurgery 1 Simple Cranial Les

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.33 / $1,048.55 / $21,879.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.34 / $1,048.55 / $2,406.77
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.63 / $1,447.18 / $1,941.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.07 / $1,264.72 / $2,081.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.82 / $1,742.99 / $1,742.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.55 / $21,879.00 / $23,354.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.05 / $1,389.38 / $2,579.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $943.90 / $2,567.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.07 / $1,278.93 / $2,081.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.01 / $1,001.25 / $1,001.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.56 / $1,001.25 / $1,064.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.00 / $4,563.00 / $8,261.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.66 / $1,351.42 / $2,134.32