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Pennsylvania rates for HCPCS 72265

Myelograpy Lumbosacral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.46 / $51.23 / $123.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.81 / $104.75 / $140.74
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.18 / $69.37 / $100.62
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.06 / $109.02 / $162.22
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.16 / $78.38 / $258.58
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.47 / $45.47 / $45.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.47 / $151.65 / $258.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.89 / $102.04 / $189.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.02 / $150.41 / $221.06
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.98 / $97.09 / $138.29
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.46 / $71.92 / $125.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.93 / $110.45 / $226.06
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.58 / $72.00 / $172.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.86 / $97.80 / $247.20
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.75 / $45.47 / $45.47
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.47 / $150.72 / $250.57
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.09 / $96.76 / $185.64
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.15 / $39.15 / $44.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.41 / $105.86 / $200.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.26 / $66.70 / $156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.00 / $130.62 / $209.73
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.64 / $79.95 / $141.94