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Pennsylvania rates for HCPCS 78201

Liver Imaging Static Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.69 / $25.95 / $63.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.36 / $174.55 / $299.43
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.97 / $174.31 / $340.24
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.86 / $22.86 / $22.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.13 / $195.38 / $331.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.53 / $246.53 / $275.19
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.69 / $36.82 / $64.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.50 / $189.42 / $343.86
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.86 / $22.86 / $22.86
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.51 / $204.16 / $337.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.95 / $19.95 / $23.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.00 / $170.41 / $186.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.94 / $197.05 / $331.09