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Pennsylvania rates for HCPCS 78215

Liver and spleen imaging; static only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.32 / $29.40 / $71.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.82 / $179.60 / $307.17
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.54 / $228.99 / $349.66
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.91 / $25.91 / $25.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.36 / $207.96 / $347.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.94 / $252.94 / $282.25
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.32 / $41.74 / $72.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.66 / $189.25 / $353.90
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.91 / $25.91 / $25.91
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.22 / $211.61 / $350.41
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.59 / $22.59 / $26.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.50 / $175.58 / $191.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.63 / $217.20 / $350.92