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Pennsylvania rates for HCPCS 63057

Transpedicular Dcmprn 1 Seg Ea Thoracic/Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,422.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.38 / $365.38 / $365.38
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$35.86 / $35.86 / $35.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,831.66 / $6,831.66 / $6,831.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $2,371.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.38 / $365.38 / $365.38
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$35.86 / $35.86 / $35.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.22 / $313.22 / $320.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $650.00 / $4,430.00