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Pennsylvania rates for HCPCS 77290

Therapeutic radiology simulation-aided field setting; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.14 / $120.25 / $244.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.80 / $553.90 / $2,470.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.83 / $109.53 / $380.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$319.77 / $443.98 / $2,178.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.22 / $325.22 / $337.39
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.48 / $117.06 / $152.18
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.22 / $89.72 / $144.85
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.08 / $551.36 / $918.42
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.72 / $129.43 / $181.16
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$341.36 / $413.49 / $770.14
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.59 / $93.59 / $93.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.56 / $537.21 / $899.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.47 / $95.30 / $154.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.19 / $439.12 / $749.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.80 / $581.22 / $688.37
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.38 / $110.38 / $122.98
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$408.41 / $508.78 / $565.39
Highmark BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,290.99 / $1,290.99 / $1,290.99
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.34 / $503.26 / $874.71
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $92.70 / $133.77
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.62 / $87.68 / $144.85
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.14 / $122.10 / $269.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.69 / $588.97 / $1,531.95
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.52 / $114.07 / $294.00
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.55 / $475.99 / $1,300.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.21 / $561.95 / $918.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.59 / $93.59 / $93.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.82 / $539.02 / $899.73
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.31 / $96.04 / $159.62
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$274.10 / $448.23 / $751.64
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.94 / $80.94 / $85.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.57 / $431.55 / $471.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.09 / $80.94 / $85.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$342.84 / $350.61 / $386.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.64 / $551.70 / $906.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.06 / $95.91 / $156.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$351.98 / $465.66 / $782.52