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Pennsylvania rates for HCPCS 64633

Dstr Nrolytc Agnt Parverteb Fct Sngl Crvcl/Thora

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.88 / $2,445.90 / $5,193.66
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,538.39 / $3,158.25 / $7,033.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.92 / $384.94 / $744.26
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$315.20 / $624.27 / $1,997.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.99 / $632.16 / $866.55
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$626.98 / $948.66 / $1,299.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.12 / $326.12 / $326.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.00 / $405.69 / $760.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.59 / $667.17 / $866.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,993.01 / $4,645.47 / $7,937.89
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$890.33 / $5,348.95 / $10,705.46
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.34 / $456.86 / $459.09
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$287.66 / $287.66 / $659.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.48 / $2,326.00 / $5,527.43
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,057.00 / $3,327.00 / $7,033.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.89 / $407.83 / $980.81
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$337.35 / $624.27 / $1,997.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $502.84 / $1,193.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.12 / $326.12 / $326.12
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.00 / $410.62 / $768.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.90 / $212.77 / $421.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $396.86 / $454.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.44 / $551.83 / $803.47