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Pennsylvania rates for HCPCS 77417

Therapeutic Radiology Port Images(S)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $17.67 / $65.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.19 / $12.19 / $12.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.57 / $16.16 / $21.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $24.00 / $52.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $24.13 / $26.38
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.19 / $24.21 / $29.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $20.86 / $65.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.04 / $28.90 / $38.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.42 / $24.00 / $52.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.72 / $12.95 / $14.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.96 / $15.02 / $25.63