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Pennsylvania rates for HCPCS 63707

Rpr Dural/Cerebrospinal Fluid Leak X Req Lam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.24 / $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
$1,079.51 / $1,079.51 / $1,079.51
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$106.59 / $106.59 / $106.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,139.13 / $2,139.13 / $2,139.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.24 / $4,761.00 / $8,427.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.51 / $1,079.51 / $1,079.51
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$106.59 / $106.59 / $106.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.77 / $922.77 / $1,044.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.00 / $2,391.00 / $6,322.00