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Pennsylvania rates for HCPCS 63064

Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $2,747.00 / $8,451.00
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
$2,030.88 / $2,030.88 / $2,030.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $9,316.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,030.88 / $2,030.88 / $2,030.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.92 / $1,747.92 / $2,054.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $7,000.00