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Pennsylvania rates for HCPCS 75809

Shuntogram Indwelling Nonvascular Shunt Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.43 / $29.71 / $71.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.91 / $79.23 / $108.66
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.41 / $81.37 / $176.12
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.82 / $25.82 / $25.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.18 / $96.30 / $168.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.87 / $112.88 / $161.72
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.43 / $41.94 / $73.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.91 / $83.18 / $144.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.40 / $67.40 / $223.20
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.28 / $25.82 / $25.82
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.18 / $96.30 / $168.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.85 / $22.85 / $25.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.98 / $79.11 / $85.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.03 / $97.39 / $164.82