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Pennsylvania rates for HCPCS 77399

Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.77 / $323.33 / $362.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.79 / $513.79 / $513.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64,999.35 / $64,999.35 / $64,999.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.69 / $338.18 / $538.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,249.45 / $55,249.45 / $71,499.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.34 / $11,793.80 / $19,883.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.21 / $323.33 / $606.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.79 / $513.79 / $513.79
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.11 / $305.18 / $531.00