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Pennsylvania rates for HCPCS 63103

Vcrpec Lat Xtrcavitary Dcmprn Thrc/Lmbr Ea Seg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.98 / $2,747.00 / $8,247.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.52 / $333.52 / $333.52
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$32.72 / $32.72 / $32.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,427.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.52 / $333.52 / $333.52
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$32.72 / $32.72 / $32.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.48 / $287.10 / $287.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.00 / $2,391.00 / $6,322.00