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Pennsylvania rates for HCPCS 72295

Diskograpy Lumbar Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.17 / $52.06 / $125.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.87 / $104.38 / $146.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.68 / $37.68 / $53.02
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.60 / $111.66 / $175.47
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.58 / $64.14 / $97.92
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.12 / $45.12 / $45.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.26 / $155.33 / $375.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.69 / $50.20 / $79.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.16 / $153.43 / $273.81
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.36 / $52.06 / $82.08
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.64 / $45.64 / $45.65
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.17 / $73.19 / $128.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.10 / $113.22 / $243.76
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $39.17 / $73.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.96 / $103.14 / $429.10
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.88 / $45.12 / $45.12
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.61 / $153.51 / $373.28
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.19 / $49.31 / $80.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.15 / $39.15 / $45.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.65 / $107.12 / $346.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.18 / $39.15 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.74 / $137.06 / $299.27
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.68 / $46.22 / $79.55