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Pennsylvania rates for HCPCS 75989

Radiological Guidance Prq Drg W/Plmt Cath Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.05 / $76.68 / $195.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.12 / $129.81 / $188.40
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.60 / $185.87 / $305.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.91 / $160.38 / $249.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.72 / $165.51 / $169.94
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.05 / $101.88 / $199.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.44 / $140.05 / $217.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.50 / $325.00 / $355.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.47 / $163.74 / $253.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.48 / $54.48 / $64.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.64 / $109.48 / $184.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.89 / $143.94 / $224.51