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Pennsylvania rates for HCPCS 77077

Joint survey, single view, 2 or more joints (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.85 / $42.66 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $44.67 / $120.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.88 / $16.98 / $75.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $28.18 / $63.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $19.50 / $19.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$4.07 / $4.07 / $4.07
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $46.77 / $79.43
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.22 / $16.98 / $30.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $29.51 / $48.98
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$3.98 / $18.62 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $56.23 / $89.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $19.50 / $33.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $35.48 / $57.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $61.66 / $81.28
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $21.88 / $26.92
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.11 / $42.66 / $53.70
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.95 / $100.00
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $19.05 / $35.48
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.92 / $36.31 / $64.57
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.98 / $22.39 / $23.99
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.78 / $35.48 / $60.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $51.29 / $117.49
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.80 / $19.50 / $47.86
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $32.36 / $70.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $77.62 / $91.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.14 / $16.22 / $16.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $35.48 / $75.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.85 / $16.22 / $16.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.18 / $28.84 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $48.98 / $79.43
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $17.78 / $30.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $30.20 / $50.12