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Pennsylvania rates for HCPCS 62263

Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 2 or more days

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,070.00 / $7,197.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.15 / $548.15 / $548.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.29 / $2,266.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.15 / $548.15 / $548.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.44 / $414.32 / $635.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.00 / $1,807.16 / $3,742.00