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Pennsylvania rates for HCPCS 77075

Radiologic Examination Osseous Survey Compl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.01 / $34.54 / $73.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.24 / $100.76 / $223.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.03 / $26.32 / $69.75
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.76 / $74.73 / $115.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.02 / $73.78 / $93.92
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.85 / $24.49 / $40.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.77 / $99.38 / $160.01
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.17 / $27.16 / $50.47
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.61 / $72.23 / $114.42
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.07 / $30.07 / $30.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.11 / $113.96 / $183.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.27 / $32.00 / $51.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $82.55 / $134.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.76 / $128.16 / $154.40
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.69 / $34.39 / $54.21
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.35 / $103.66 / $147.60
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.17 / $120.00 / $120.77
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.64 / $32.38 / $43.37
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.49 / $125.49 / $125.49
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.01 / $37.28 / $82.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.14 / $110.76 / $297.24
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.66 / $33.33 / $70.20
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.32 / $82.09 / $196.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.26 / $105.15 / $210.90
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.07 / $30.07 / $30.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.78 / $113.40 / $186.32
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.51 / $31.83 / $52.81
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.17 / $82.21 / $134.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.19 / $26.19 / $40.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.66 / $96.04 / $106.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.46 / $26.26 / $40.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.50 / $69.84 / $76.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.12 / $100.57 / $172.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.24 / $30.79 / $51.87
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.53 / $73.67 / $121.53