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Pennsylvania rates for HCPCS 78650

Cerebrospinal Fluid Leak Detection&Localizatio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.12 / $430.08 / $3,551.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.54 / $258.01 / $385.54
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
$232.60 / $241.37 / $533.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.68 / $1,082.32 / $4,206.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.72 / $314.19 / $541.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.50 / $341.50 / $380.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.12 / $488.83 / $1,345.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.82 / $267.12 / $1,055.11
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.68 / $951.20 / $4,206.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.14 / $322.64 / $546.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.50 / $240.36 / $240.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.50 / $240.36 / $262.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.60 / $313.23 / $494.90