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Pennsylvania rates for HCPCS 75810

Splenoportography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,890.77 / $3,786.91 / $9,250.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.70 / $2,467.12 / $2,902.82
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
$978.22 / $3,141.54 / $3,260.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.93 / $1,162.63 / $7,546.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.33 / $603.30 / $937.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.30 / $805.48 / $1,622.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,890.77 / $3,786.91 / $9,452.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,118.52 / $2,698.73 / $3,268.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.80 / $676.80 / $912.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.96 / $1,062.76 / $7,570.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.27 / $599.52 / $952.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.00 / $553.03 / $553.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.00 / $553.03 / $652.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.53 / $1,667.94 / $3,260.10