go back

Pennsylvania rates for HCPCS 62284

Injection Procedure Myelography/Ct Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.91 / $1,280.32 / $5,958.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$16.82 / $16.82 / $40.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.48 / $167.37 / $278.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.46 / $85.46 / $94.12
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
$178.65 / $185.39 / $196.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.54 / $140.54 / $140.54
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$28.11 / $28.11 / $28.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.43 / $168.22 / $353.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.08 / $276.67 / $369.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.25 / $962.87 / $1,184.94
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.39 / $121.28 / $152.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.85 / $1,544.00 / $6,432.00
Martin's Point
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$16.82 / $16.82 / $40.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.18 / $184.40 / $455.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $235.70 / $360.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.97 / $140.54 / $140.54
Priority Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$28.11 / $28.11 / $28.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.28 / $168.22 / $346.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.06 / $153.41 / $478.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.06 / $181.54 / $198.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $1,078.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.05 / $253.57 / $385.39