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Pennsylvania rates for HCPCS 75571

Ct Heart No Contrast Quant Eval Coronry Calcium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.55 / $38.29 / $60.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.51 / $99.53 / $488.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.85 / $30.56 / $87.01
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.50 / $71.90 / $256.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.81 / $75.64 / $96.78
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.87 / $29.62 / $42.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.71 / $102.43 / $177.88
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.52 / $45.08 / $60.90
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.20 / $73.89 / $124.15
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.27 / $31.27 / $31.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.54 / $117.92 / $197.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.53 / $33.11 / $54.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.43 / $83.96 / $138.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.63 / $138.30 / $189.38
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.14 / $36.15 / $57.02
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.26 / $106.04 / $150.96
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.16 / $126.68 / $134.25
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.72 / $32.24 / $45.21
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.21 / $110.21 / $110.21
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.55 / $39.19 / $96.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $117.07 / $465.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.85 / $35.67 / $80.51
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.36 / $83.96 / $200.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.23 / $101.76 / $182.46
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.27 / $31.27 / $31.27
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.81 / $117.98 / $199.95
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.94 / $33.06 / $54.77
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.37 / $84.01 / $141.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.50 / $27.52 / $27.52
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.48 / $98.97 / $109.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.50 / $27.52 / $28.56
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.90 / $71.44 / $82.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.15 / $106.46 / $186.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.15 / $32.35 / $53.64
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.07 / $82.85 / $134.91