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Pennsylvania rates for HCPCS 77021

Mri Guidance Needle Placement Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.63 / $126.00 / $403.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $425.00 / $709.39
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.02 / $126.00 / $183.07
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.10 / $415.20 / $571.41
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.50 / $100.35 / $140.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.77 / $579.12 / $823.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.91 / $92.65 / $147.32
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.02 / $630.03 / $649.00
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.86 / $103.05 / $103.05
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.63 / $138.60 / $412.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.08 / $501.94 / $1,192.00
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.02 / $126.00 / $198.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $766.50 / $1,179.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.18 / $579.12 / $882.32
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.39 / $94.24 / $153.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.42 / $69.42 / $82.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.37 / $409.91 / $515.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.67 / $69.42 / $82.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.72 / $496.41 / $836.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.11 / $83.48 / $135.47