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Pennsylvania rates for HCPCS 67220

Dstrj Lesion Choroid Pc 1/> Sess

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,240.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.80 / $593.35 / $984.17
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $2,594.00 / $5,296.01
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.21 / $534.66 / $957.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.74 / $650.41 / $1,273.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.20 / $623.20 / $803.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,458.98 / $2,458.98 / $2,458.98
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.94 / $639.02 / $689.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,371.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.80 / $667.48 / $1,701.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.70 / $1,105.70 / $1,105.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.15 / $617.12 / $1,206.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.18 / $508.79 / $942.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.23 / $506.32 / $942.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $1,322.78 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.15 / $677.43 / $1,131.73