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Pennsylvania rates for HCPCS 68850

Injection of contrast medium for dacryocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.86 / $2,070.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.51 / $58.41 / $74.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.99 / $59.14 / $112.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.37 / $86.37 / $86.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $70.09 / $119.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.72 / $85.85 / $117.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $62.48 / $315.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $468.30 / $468.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.64 / $86.37 / $86.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $69.61 / $125.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.13 / $56.77 / $560.12
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.03 / $55.55 / $78.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $1,078.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.61 / $75.87 / $152.41