go back

Pennsylvania rates for HCPCS 77074

Radiologic Examination Osseous Survey Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.37 / $29.10 / $65.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.96 / $62.96 / $112.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.67 / $20.37 / $47.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.29 / $43.72 / $73.38
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.78 / $15.78 / $15.78
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.40 / $65.79 / $114.60
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.81 / $21.59 / $42.58
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.59 / $44.20 / $74.17
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.92 / $23.92 / $23.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.90 / $77.75 / $124.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.09 / $26.13 / $42.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.86 / $52.13 / $81.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.76 / $84.74 / $104.94
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.77 / $27.35 / $43.16
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.99 / $63.44 / $90.33
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.22 / $22.97 / $229.45
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.37 / $37.28 / $66.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.96 / $72.47 / $175.39
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.11 / $22.52 / $55.58
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.29 / $49.34 / $119.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.38 / $133.33 / $176.40
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.92 / $23.92 / $23.92
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.95 / $77.59 / $124.27
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.83 / $26.08 / $42.91
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.81 / $52.13 / $85.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.58 / $20.58 / $21.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $62.62 / $67.62
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.07 / $20.58 / $21.34
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.00 / $42.04 / $46.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.86 / $68.62 / $119.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.02 / $24.55 / $41.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.22 / $46.15 / $76.80