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Pennsylvania rates for HCPCS 75635

Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$112.47 / $139.26 / $244.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.20 / $357.57 / $530.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.37 / $121.89 / $345.97
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$159.22 / $220.00 / $385.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.49 / $310.35 / $310.35
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.05 / $115.29 / $175.44
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$271.74 / $271.74 / $271.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.97 / $297.80 / $297.80
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.16 / $181.20 / $279.51
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$174.82 / $222.05 / $985.73
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.28 / $128.28 / $128.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.62 / $620.76 / $1,062.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.84 / $137.55 / $221.16
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.07 / $460.08 / $825.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.63 / $455.08 / $1,527.48
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.74 / $147.06 / $232.25
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$209.18 / $260.51 / $371.12
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.06 / $521.54 / $522.12
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$124.53 / $135.69 / $177.01
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$107.12 / $155.32 / $366.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.77 / $395.30 / $970.95
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.12 / $142.84 / $335.16
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.65 / $234.80 / $604.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.00 / $325.00 / $850.10
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.84 / $128.28 / $128.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.27 / $607.25 / $1,038.57
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.12 / $134.44 / $228.43
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$254.11 / $448.62 / $811.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.62 / $110.62 / $124.35
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.20 / $279.18 / $679.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.78 / $110.69 / $124.35
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.52 / $171.39 / $554.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.14 / $530.63 / $844.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.63 / $130.71 / $219.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$278.19 / $398.90 / $646.44