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Pennsylvania rates for HCPCS 72084

Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 6/> Vw

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.98 / $25.87 / $39.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.16 / $88.45 / $178.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.07 / $19.75 / $45.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.57 / $67.95 / $118.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.35 / $58.35 / $58.35
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.25 / $15.50 / $31.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.79 / $126.09 / $155.79
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.10 / $32.50 / $39.04
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.69 / $98.36 / $123.23
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.72 / $22.72 / $22.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.88 / $102.87 / $173.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.69 / $24.74 / $40.06
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.05 / $78.89 / $136.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.99 / $127.57 / $153.87
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.07 / $26.53 / $41.69
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.45 / $111.25 / $158.40
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.66 / $24.04 / $25.46
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.98 / $26.23 / $62.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.73 / $99.93 / $198.71
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.55 / $21.90 / $46.75
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.64 / $80.18 / $149.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.69 / $78.41 / $160.24
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.72 / $22.72 / $22.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.48 / $102.87 / $173.10
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.69 / $24.65 / $40.06
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.05 / $78.89 / $132.97
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.88 / $19.88 / $22.43
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.96 / $95.11 / $103.48
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.39 / $19.88 / $22.43
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.53 / $75.23 / $82.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.39 / $94.63 / $167.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.80 / $23.04 / $38.71
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.85 / $76.52 / $130.52