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Pennsylvania rates for HCPCS 77321

Spec Telethx Port Pln Parts Hemibdy Tot Bdy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.64 / $74.33 / $162.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.36 / $105.29 / $421.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.48 / $48.29 / $218.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.92 / $54.64 / $84.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.73 / $71.73 / $71.73
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.75 / $48.34 / $73.52
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.28 / $147.51 / $339.98
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.37 / $78.84 / $110.05
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.91 / $66.09 / $256.23
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.93 / $56.93 / $56.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.15 / $138.26 / $243.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.43 / $58.01 / $94.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.11 / $73.14 / $172.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.04 / $146.25 / $191.43
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.67 / $67.18 / $74.98
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.37 / $63.91 / $71.26
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.25 / $184.33 / $239.60
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.69 / $56.38 / $90.99
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.64 / $86.06 / $169.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.21 / $115.83 / $275.67
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.42 / $58.90 / $144.46
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.00 / $61.86 / $131.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.11 / $96.54 / $195.88
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.93 / $56.93 / $56.93
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.15 / $139.34 / $231.17
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.28 / $58.16 / $96.69
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.47 / $70.62 / $172.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.23 / $49.23 / $51.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.29 / $90.64 / $221.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.13 / $49.23 / $51.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.54 / $41.41 / $170.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.56 / $116.11 / $198.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.14 / $57.56 / $95.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.28 / $55.49 / $109.49