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Pennsylvania rates for HCPCS 64520

Injection Anes Lmbr/Thrc Paravertbrl Sympathetic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.33 / $1,544.00 / $5,958.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,971.09 / $1,971.09 / $1,971.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.40 / $174.88 / $339.70
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$229.44 / $229.44 / $229.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,772.00 / $2,838.15 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.23 / $246.92 / $360.62
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$327.35 / $370.37 / $540.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.65 / $171.94 / $357.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.89 / $351.35 / $455.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.04 / $1,935.19 / $3,283.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.33 / $1,544.00 / $5,958.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,971.09 / $1,971.09 / $1,971.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.72 / $190.96 / $504.08
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$229.44 / $229.44 / $229.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.56 / $192.40 / $412.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.26 / $143.26 / $143.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.27 / $174.99 / $378.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.68 / $149.55 / $230.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $216.96 / $238.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.00 / $1,219.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.08 / $262.33 / $387.04