go back

Pennsylvania rates for HCPCS 90967

Esrd Related Svc <Full Month <2 Yr Old

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.72 / $16.72 / $16.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $17.19 / $21.50
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $18.05 / $32.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.42 / $22.16 / $37.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.86 / $37.86 / $37.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $23.78 / $35.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $17.94 / $32.03
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.90 / $21.90 / $21.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.90 / $25.84 / $36.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $22.14 / $36.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.22 / $17.22 / $17.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $17.22 / $19.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.35 / $18.96 / $32.15