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Pennsylvania rates for HCPCS 72265

Myelography, lumbosacral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.71 / $104.71 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $107.15 / $263.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $67.61 / $173.78
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $109.65 / $109.65
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $67.61 / $218.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.77 / $45.71 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $154.88 / $257.04
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.48 / $102.33 / $186.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $147.91 / $186.21
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $95.50 / $120.23
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $288.40
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $112.20 / $190.55
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.71 / $104.71 / $144.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $125.89 / $309.03
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.95 / $81.28 / $199.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $151.36 / $263.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.90 / $44.67 / $44.67
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $128.82 / $218.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $67.61 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $125.89 / $213.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.48 / $75.86 / $144.54