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Pennsylvania rates for HCPCS 73040

Radex Shoulder Arthrography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.09 / $33.24 / $84.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.25 / $116.94 / $234.94
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.74 / $25.68 / $45.77
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.90 / $91.95 / $178.18
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.32 / $23.49 / $35.40
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.68 / $156.77 / $207.01
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.78 / $43.38 / $62.69
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.89 / $111.80 / $163.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.37 / $30.37 / $30.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.53 / $135.26 / $232.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.42 / $32.75 / $53.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.34 / $102.40 / $180.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.21 / $167.71 / $201.98
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.46 / $35.39 / $55.53
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.13 / $145.90 / $207.86
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.01 / $29.38 / $42.44
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.09 / $34.93 / $86.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.57 / $130.46 / $288.66
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.74 / $27.18 / $69.88
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.44 / $104.00 / $232.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.43 / $132.38 / $223.66
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.64 / $30.37 / $30.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.57 / $135.26 / $229.60
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.44 / $32.75 / $53.22
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.63 / $102.37 / $173.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.48 / $26.48 / $29.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.50 / $126.38 / $137.52
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.76 / $26.54 / $29.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.50 / $99.90 / $109.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.00 / $125.00 / $220.36
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.98 / $30.31 / $50.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.18 / $96.62 / $166.86