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Pennsylvania rates for HCPCS 82355

Calculus Qualitative Analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.84 / $48.44 / $84.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $10.36 / $30.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.34 / $75.75 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $15.43 / $38.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $13.22 / $20.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $9.26 / $15.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.22 / $29.53 / $66.01
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $11.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.84 / $32.83 / $61.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $10.36 / $47.83
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $17.57 / $38.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $13.22 / $20.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.58 / $11.58 / $11.58
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $11.58 / $16.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $5.79 / $7.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $7.98 / $21.19