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Pennsylvania rates for HCPCS 73564

Radiologic Exam Knee Complete 4/More Views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.65 / $11.93 / $23.27
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$51.73 / $256.83 / $571.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.80 / $54.86 / $192.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.71 / $18.89 / $51.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$52.74 / $155.52 / $382.50
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$16.59 / $21.18 / $26.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.87 / $39.71 / $107.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.64 / $36.63 / $86.20
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $11.40 / $19.13
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$52.55 / $52.73 / $55.83
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.71 / $53.19 / $53.90
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.24 / $52.10 / $57.79
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.80 / $16.55 / $157.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$120.46 / $160.87 / $214.44
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.69 / $62.86 / $77.55
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.03 / $17.80 / $24.81
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.37 / $125.72 / $155.13
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.64 / $45.07 / $55.40
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.66 / $12.66 / $12.66
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$40.63 / $40.63 / $40.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.03 / $51.62 / $83.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.36 / $13.36 / $21.36
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$53.72 / $61.21 / $61.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.04 / $36.99 / $64.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.41 / $61.36 / $73.95
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.15 / $14.63 / $22.92
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.49 / $51.60 / $73.45
Highmark BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$181.72 / $314.33 / $470.94
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.14 / $57.36 / $70.23
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.12 / $15.34 / $24.24
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$25.22 / $108.44 / $130.56
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.02 / $50.67 / $62.47
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.12 / $50.61 / $57.79
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.40 / $14.56 / $101.99
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.65 / $13.02 / $29.81
Martin's Point
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$41.36 / $259.70 / $704.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.80 / $56.02 / $173.24
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.02 / $16.48 / $47.94
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$52.74 / $150.57 / $382.50
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$19.02 / $22.61 / $42.24
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.92 / $44.38 / $96.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $44.20 / $83.48
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.17 / $12.66 / $12.66
Priority Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$16.73 / $40.63 / $40.63
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $50.25 / $81.44
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.64 / $13.36 / $21.78
Priority Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$53.72 / $61.21 / $65.11
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.55 / $36.99 / $61.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.92 / $10.92 / $20.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$28.00 / $33.82 / $33.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.03 / $44.74 / $48.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.67 / $10.92 / $20.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.00 / $33.82 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.76 / $45.37 / $78.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.13 / $12.56 / $20.99
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.47 / $33.86 / $58.52