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Pennsylvania rates for HCPCS 76120

Cineradiography/videoradiography, except where specifically included

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.29 / $101.28 / $132.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.09 / $17.30 / $25.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.10 / $84.14 / $109.35
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.52 / $109.51 / $183.63
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.75 / $19.46 / $36.02
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.77 / $90.05 / $147.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.76 / $104.95 / $200.64
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.39 / $23.29 / $36.22
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.08 / $80.15 / $160.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.83 / $142.36 / $171.59
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.61 / $24.76 / $38.90
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.83 / $129.31 / $184.21
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.78 / $35.78 / $35.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.42 / $106.52 / $196.11
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.17 / $18.86 / $47.42
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.40 / $88.08 / $170.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.01 / $92.10 / $187.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $104.95 / $190.05
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.52 / $23.16 / $37.42
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.78 / $81.86 / $151.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.52 / $112.11 / $122.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.27 / $18.95 / $19.62
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.08 / $93.26 / $102.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.94 / $109.19 / $185.14
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.17 / $21.17 / $35.86
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.45 / $90.94 / $153.21