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Pennsylvania rates for HCPCS 78195

Lymphatics and lymph nodes imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.81 / $70.48 / $170.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.37 / $338.96 / $1,797.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.27 / $316.79 / $316.79
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.43 / $63.43 / $63.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.25 / $364.66 / $630.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.85 / $444.85 / $495.83
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.81 / $81.79 / $172.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.88 / $352.73 / $1,728.00
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.43 / $63.43 / $63.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.86 / $374.38 / $633.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.84 / $54.84 / $60.93
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.12 / $314.69 / $342.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.99 / $381.73 / $631.97