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Pennsylvania rates for HCPCS 61867

Strtctc Impltj Nstim Eltrd W/Record 1st Array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $4,051.00 / $8,451.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,986.00 / $8,986.00 / $9,077.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,371.69 / $2,824.78 / $9,530.21
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
$8,986.00 / $8,986.00 / $9,077.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,078.02 / $2,238.30 / $2,238.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,322.00