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Pennsylvania rates for HCPCS 78650

Cerebrospinal fluid leakage detection and localization

Facilitymedian $851 · 10th–90th $269–$3,3110%10%20%10th90th$851Professionalmedian $263 · 10th–90th $214–$4570%20%10th90th$263$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Typical Low / Median / Typical High
$295.12 / $851.14 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $263.03 / $389.05
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $239.88 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,122.02 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $331.13 / $537.03
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $363.08
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $316.23 / $457.09
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $660.69 / $1,122.02
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $251.19 / $354.81
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $478.63 / $676.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $112.20 / $239.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $147.91 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,801.89 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $295.12 / $501.19