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Pennsylvania rates for HCPCS 78630

Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.24 / $41.03 / $99.97
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
$31.24 / $58.39 / $102.16
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