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Pennsylvania rates for HCPCS 73115

Radex Wrist Arthrography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.73 / $35.35 / $85.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.00 / $121.11 / $237.67
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.26 / $131.02 / $213.23
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.72 / $30.72 / $30.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.90 / $134.72 / $236.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.90 / $169.94 / $204.91
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.73 / $48.92 / $87.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.72 / $135.38 / $274.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.83 / $119.53 / $267.10
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.96 / $30.72 / $30.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.35 / $134.72 / $228.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.80 / $26.80 / $29.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $130.18 / $141.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.40 / $130.07 / $217.97