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Pennsylvania rates for HCPCS 69745

Sutr Nrv Itprl W/Wo Grf/Dcmprn Medial Geniculate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,331.37 / $4,761.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.15 / $1,209.00 / $1,581.27
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.17 / $1,626.18 / $2,603.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.09 / $1,586.56 / $2,574.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.47 / $1,922.57 / $1,934.39
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $5,342.00 / $9,617.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.15 / $1,292.50 / $5,958.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,449.90 / $3,206.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.33 / $1,595.23 / $2,689.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.73 / $1,215.73 / $1,415.73
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.18 / $1,215.90 / $1,415.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.07 / $1,518.46 / $2,434.37