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Pennsylvania rates for HCPCS 66185

Revj Aqueous Shunt Extraocular Reservoir W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.89 / $2,747.00 / $8,104.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.86 / $4,817.49 / $8,808.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,389.00 / $8,247.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.46 / $815.27 / $815.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.00 / $2,884.00 / $4,815.00