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Pennsylvania rates for HCPCS 61863

Strtctc Impltj Nstim Eltrd W/O Record 1st Array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $3,839.00 / $8,427.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,256.00 / $9,256.00 / $9,256.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,427.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,256.00 / $9,256.00 / $9,256.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.68 / $1,478.88 / $1,478.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,322.00