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Pennsylvania rates for HCPCS 89264

Sprm Id From Tstis Tiss Frsh/Cryoprsrvd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.31 / $590.69 / $1,587.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $299.83 / $365.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.75 / $8,459.92 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.53 / $68.00 / $68.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.36 / $67.08 / $144.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $109.45 / $136.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.83 / $590.69 / $1,587.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $299.83 / $415.21
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.90 / $85.90 / $144.05
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $109.45 / $136.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.86 / $67.86 / $67.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.86 / $67.86 / $67.86