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Pennsylvania rates for HCPCS 64555

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.00 / $2,371.00 / $8,104.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.78 / $344.81 / $2,346.55
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,850.00 / $16,455.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.84 / $2,042.10 / $2,042.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.57 / $555.57 / $555.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.00 / $403.35 / $3,057.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,409.98 / $3,215.70 / $4,162.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,942.39 / $18,267.66 / $32,840.01
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.23 / $393.23 / $393.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,333.69 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.50 / $479.56 / $3,113.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $191.10 / $4,863.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.57 / $555.57 / $555.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.98 / $419.48 / $3,145.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.38 / $317.58 / $2,062.21
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.34 / $332.61 / $2,252.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.22 / $2,067.73 / $3,612.74