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Pennsylvania rates for HCPCS 78290

Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.89 / $36.92 / $97.64
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.96 / $35.96 / $35.96
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.89 / $41.18 / $101.04
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.96 / $35.96 / $35.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.54 / $31.54 / $37.00