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Pennsylvania rates for HCPCS 63710

Dural Graft Spinal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $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
$1,235.10 / $1,235.10 / $1,235.10
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$122.70 / $122.70 / $122.70
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
$1,235.10 / $1,235.10 / $1,235.10
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$122.70 / $122.70 / $122.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.26 / $1,059.15 / $1,059.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.00 / $2,391.00 / $6,322.00