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Pennsylvania rates for HCPCS 63663

Revj Incl Rplcmt Nstim Eltrd Prq Ra Incl Fluor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.39 / $1,819.00 / $7,175.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.96 / $767.96 / $767.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$76.80 / $76.80 / $76.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,739.21 / $24,144.11 / $62,896.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.39 / $1,978.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.96 / $767.96 / $767.96
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$76.80 / $76.80 / $76.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.57 / $515.30 / $871.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00