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Pennsylvania rates for HCPCS 63709

Rpr Dural/Csf Leak/Pseudomeningocele W/Lam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.42 / $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
$1,271.82 / $1,271.82 / $1,271.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$126.39 / $126.39 / $126.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,427.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.82 / $1,271.82 / $1,271.82
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$126.39 / $126.39 / $126.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.25 / $1,094.25 / $1,362.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.00 / $2,391.00 / $6,322.00