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Pennsylvania rates for HCPCS 90962

Esrd Related Svc Monthly 20&/>Yr Old 1 Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.47 / $190.47 / $190.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.43 / $194.48 / $377.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.90 / $190.27 / $245.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.17 / $209.80 / $331.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.74 / $228.74 / $228.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.21 / $220.86 / $375.01
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.55 / $444.55 / $444.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.58 / $277.02 / $414.58
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.39 / $241.04 / $327.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.28 / $216.79 / $458.34
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.10 / $185.10 / $185.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.10 / $323.39 / $408.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.74 / $228.74 / $228.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.21 / $219.87 / $372.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.34 / $196.34 / $196.34
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.72 / $196.34 / $227.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.84 / $193.06 / $319.39