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Pennsylvania rates for HCPCS 78428

Cardiac shunt detection

Facilitymedian $95 · 10th–90th $43–$1410%20%10th90th$95Professionalmedian $182 · 10th–90th $148–$2880%10%20%10th90th$182$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$42.66 / $95.50 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $181.97 / $263.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $169.82 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $204.17 / $323.59
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $223.87 / $288.40
Martin's Point
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$34.67 / $70.79 / $123.03
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $173.78 / $223.87
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $309.03 / $371.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$35.48 / $43.65 / $43.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $87.10 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $199.53 / $331.13