go back

Pennsylvania rates for HCPCS 78103

Bone marrow imaging; multiple areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.23 / $300.83 / $1,025.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.11 / $182.23 / $252.62
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
$162.69 / $168.84 / $389.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.57 / $594.79 / $1,213.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.96 / $219.97 / $369.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.23 / $236.23 / $263.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.53 / $598.53 / $598.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.23 / $333.48 / $719.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.76 / $183.00 / $719.81
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.57 / $578.42 / $1,213.41
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.10 / $225.06 / $384.28
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.50 / $166.70 / $166.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.50 / $166.70 / $181.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.34 / $223.76 / $390.59