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Pennsylvania rates for HCPCS 77014

Ct Guidance Radiation Therapy Flds Placement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.78 / $82.39 / $159.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.00 / $709.48 / $799.14
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.46 / $257.12 / $266.93
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.53 / $452.37 / $532.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.48 / $89.08 / $91.97
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.82 / $64.17 / $83.42
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.53 / $57.53 / $57.53
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.58 / $54.70 / $79.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.47 / $142.00 / $210.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.91 / $49.62 / $81.12
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.56 / $88.23 / $130.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.20 / $232.67 / $389.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.09 / $86.37 / $144.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.11 / $146.31 / $244.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.61 / $184.69 / $418.58
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.18 / $60.51 / $67.70
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.44 / $105.15 / $116.99
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.96 / $145.01 / $193.58
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.84 / $55.00 / $73.84
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.99 / $82.99 / $112.66
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.58 / $48.77 / $79.91
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.89 / $82.39 / $159.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.14 / $155.28 / $709.48
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.20 / $59.46 / $257.12
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.45 / $99.86 / $452.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.62 / $151.32 / $260.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.20 / $232.67 / $389.47
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.09 / $86.37 / $144.57
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.11 / $146.31 / $244.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.94 / $43.94 / $52.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.36 / $116.02 / $160.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.93 / $43.94 / $52.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.51 / $72.08 / $108.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.77 / $146.43 / $245.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.79 / $50.81 / $83.59
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.05 / $95.41 / $172.95