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Pennsylvania rates for HCPCS 73615

Radiologic examination, ankle, arthrography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.11 / $35.74 / $86.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.04 / $117.20 / $149.40
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.91 / $124.43 / $203.91
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.07 / $31.07 / $31.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.49 / $131.19 / $234.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.80 / $161.18 / $194.08
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$27.11 / $50.10 / $88.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.76 / $126.06 / $225.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.96 / $135.50 / $245.28
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.96 / $31.07 / $31.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.40 / $131.15 / $226.56
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
$110.00 / $124.49 / $135.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.20 / $130.28 / $231.00