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Pennsylvania rates for HCPCS 78261

Gastric Mucosa Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.35 / $322.91 / $1,025.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.01 / $190.90 / $289.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.64 / $181.23 / $396.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.54 / $594.79 / $1,213.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.72 / $248.75 / $406.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.49 / $254.49 / $283.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.35 / $361.15 / $779.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.09 / $197.35 / $779.53
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.54 / $578.42 / $1,213.41
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.88 / $251.74 / $418.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.52 / $179.52 / $225.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.31 / $179.52 / $225.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.19 / $238.92 / $376.36