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Pennsylvania rates for HCPCS 78216

Liver and spleen imaging; with vascular flow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.24 / $33.33 / $80.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.13 / $30.13 / $30.13
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.24 / $47.20 / $82.53
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.13 / $30.13 / $30.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.23 / $26.23 / $30.50