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Pennsylvania rates for HCPCS 63688

Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.43 / $2,747.00 / $9,119.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.27 / $341.27 / $341.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,264.07 / $13,508.61 / $41,550.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $2,483.00 / $8,277.53
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.27 / $341.27 / $341.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.37 / $365.37 / $493.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00