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Pennsylvania rates for HCPCS 75801

Lymphangiography, extremity only, unilateral, radiological supervision and interpretation

Facilitymedian $112 · 10th–90th $48$1620%10%10th90th$112$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$47.86 / $112.20 / $162.18
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$40.74 / $89.13 / $151.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$41.69 / $41.69 / $43.65