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Pennsylvania rates for HCPCS 75805

Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,314.90 / $3,384.71 / $9,256.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.54 / $2,451.10 / $2,904.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.55 / $3,131.50 / $3,249.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.31 / $601.66 / $7,546.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.99 / $321.51 / $506.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.10 / $413.87 / $821.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,452.69 / $3,507.35 / $9,459.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.65 / $2,452.69 / $2,907.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.50 / $344.50 / $463.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.92 / $584.15 / $7,570.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.99 / $318.98 / $510.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.50 / $285.02 / $285.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.25 / $277.50 / $286.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.79 / $1,672.75 / $3,249.68