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Pennsylvania rates for HCPCS 63053

Lam Facetec/Foramot Drg Arthrd Lmbr Ea Addl Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.87 / $2,266.00 / $7,197.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.63 / $260.63 / $260.63
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$159.84 / $159.84 / $159.84
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$25.58 / $25.58 / $25.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.18 / $989.18 / $989.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $2,326.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.63 / $260.63 / $260.63
Priority Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$159.84 / $159.84 / $159.84
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$25.58 / $25.58 / $25.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.31 / $222.84 / $222.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $4,430.00