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Pennsylvania rates for HCPCS 76873

Us Transrct Prstate Vol Brachytx Plnning Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.33 / $108.29 / $234.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.05 / $171.34 / $304.55
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.75 / $72.93 / $118.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.82 / $130.82 / $143.63
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.43 / $211.81 / $307.23
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.02 / $98.33 / $144.69
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.87 / $86.87 / $86.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.66 / $210.22 / $329.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.96 / $95.16 / $151.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.34 / $241.15 / $412.34
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.32 / $109.81 / $171.58
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.26 / $113.12 / $239.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.34 / $183.11 / $421.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.54 / $77.73 / $186.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.40 / $207.20 / $433.60
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.87 / $86.87 / $86.87
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.49 / $209.01 / $329.29
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.32 / $94.96 / $151.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.92 / $74.92 / $78.17
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.85 / $168.80 / $181.16
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$73.17 / $74.92 / $78.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.86 / $186.32 / $316.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.91 / $86.50 / $148.65