go back

Pennsylvania rates for HCPCS 77077

Joint Survey Single View 2 Or More Joints

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.14 / $23.35 / $51.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.59 / $43.86 / $61.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.93 / $15.63 / $31.94
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.51 / $28.30 / $50.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.98 / $50.98 / $50.98
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $28.84 / $28.84
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.01 / $46.71 / $74.20
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.39 / $17.02 / $30.08
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.61 / $29.69 / $47.25
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.82 / $18.82 / $18.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.04 / $55.67 / $87.12
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.84 / $19.22 / $31.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.95 / $35.29 / $55.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.53 / $62.35 / $72.03
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.05 / $21.66 / $33.99
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.26 / $42.59 / $60.63
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.67 / $18.71 / $24.03
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.14 / $24.49 / $52.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.76 / $45.87 / $83.22
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.08 / $16.57 / $33.27
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.61 / $30.28 / $53.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.70 / $72.90 / $99.70
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.82 / $18.82 / $18.82
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.04 / $55.19 / $86.42
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.06 / $19.22 / $32.47
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.95 / $35.11 / $55.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.00 / $16.22 / $16.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.69 / $45.30 / $52.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.00 / $16.23 / $16.87
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.48 / $29.08 / $37.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.96 / $49.78 / $85.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.15 / $18.76 / $32.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.35 / $32.47 / $51.15