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Pennsylvania rates for HCPCS 73564

Radiologic examination, knee; complete, 4 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.55 / $16.60 / $39.81
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$39.81 / $208.93 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $57.54 / $199.53
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $22.91 / $64.57
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$45.71 / $123.03 / $302.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $47.86 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $40.74 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $12.88 / $20.89
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$47.86 / $57.54 / $102.33
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $41.69 / $63.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$120.23 / $169.82 / $245.47
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $50.12 / $77.62
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $14.13 / $24.55
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.20 / $100.00 / $158.49
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.67 / $36.31 / $58.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2.69 / $12.59 / $17.78
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$8.51 / $39.81 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $51.29 / $91.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.71 / $13.49 / $22.39
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.99 / $37.15 / $67.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $67.61 / $85.11
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.22 / $14.79 / $18.20
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $52.48 / $66.07
Geisinger
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$37.15 / $37.15 / $37.15
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $51.29 / $100.00
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $13.18 / $23.99
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.20 / $38.90 / $77.62
Highmark BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$165.96 / $288.40 / $512.86
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $53.70 / $67.61
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.48 / $13.49 / $23.99
Highmark BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$25.70 / $112.20 / $131.83
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.65 / $52.48 / $63.10
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $74.13
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $13.49 / $20.42
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.55 / $16.22 / $39.81
Martin's Point
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$39.81 / $194.98 / $758.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $57.54 / $141.25
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $16.60 / $47.86
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$45.71 / $123.03 / $288.40
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $44.67 / $91.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $46.77 / $95.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.96 / $19.95 / $19.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$28.18 / $28.18 / $33.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $26.30 / $58.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.96 / $11.22 / $19.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $33.88 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $44.67 / $75.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $12.02 / $20.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $33.11 / $57.54