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Pennsylvania rates for HCPCS 78104

Bone Marrow Imaging Whole Body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.13 / $47.55 / $115.62
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.81 / $41.81 / $41.81
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.13 / $67.17 / $118.15
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.81 / $41.81 / $41.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.56 / $36.56 / $43.50