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Pennsylvania rates for HCPCS 77089

Tbs Dxa/Other Img Calculation W/I&R Fx Risk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.78 / $57.13 / $286.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.14 / $40.35 / $54.98
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.36 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.64 / $40.10 / $63.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.11 / $45.11 / $45.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.98 / $50.11 / $79.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.37 / $55.01 / $69.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.03 / $58.50 / $152.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.72 / $41.87 / $71.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.90 / $54.85 / $81.62
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.11 / $45.11 / $45.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.15 / $50.11 / $79.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.68 / $38.68 / $43.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.15 / $38.68 / $43.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.53 / $41.53 / $41.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.18 / $45.06 / $76.89