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Pennsylvania rates for HCPCS 70496

Ct Angiography Head W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.26 / $103.09 / $181.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.27 / $381.56 / $1,199.43
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.47 / $91.53 / $241.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.21 / $224.76 / $509.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.33 / $209.03 / $266.52
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.65 / $91.98 / $136.08
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.63 / $272.31 / $272.31
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.02 / $111.89 / $908.64
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.70 / $349.80 / $1,088.93
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.56 / $134.79 / $203.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$175.13 / $245.29 / $885.70
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.56 / $94.56 / $94.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.60 / $501.29 / $926.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.96 / $101.00 / $164.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$178.71 / $360.75 / $794.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.54 / $411.95 / $1,433.08
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.35 / $108.48 / $171.25
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$209.61 / $260.94 / $371.65
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.45 / $319.82 / $351.81
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.90 / $99.95 / $145.77
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$353.16 / $353.44 / $353.44
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $106.30 / $676.84
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.30 / $114.98 / $271.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.94 / $367.09 / $1,138.55
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.63 / $99.13 / $236.81
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.63 / $234.61 / $604.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.27 / $230.64 / $426.62
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.34 / $94.56 / $94.56
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.24 / $472.17 / $915.81
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.72 / $99.57 / $169.00
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.65 / $360.75 / $731.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.29 / $82.29 / $91.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.94 / $251.46 / $470.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.14 / $82.38 / $91.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.57 / $171.32 / $378.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.79 / $380.02 / $663.48
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.70 / $97.86 / $164.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$178.66 / $258.06 / $548.04