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Pennsylvania rates for HCPCS 82355

Calculus; qualitative analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $31.62 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.00 / $20.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $81.28 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $18.20 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $12.88 / $20.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $11.48 / $16.60
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.88 / $19.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $30.20 / $66.07
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $31.62 / $60.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $42.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $17.38 / $17.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $16.60 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $11.48 / $13.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.94 / $19.95