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Pennsylvania rates for HCPCS 90999

Unlisted dialysis procedure, inpatient or outpatient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.00 / $387.00 / $821.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.00 / $917.60 / $7,730.70
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,249.45 / $64,999.35 / $64,999.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $147.00 / $147.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,249.45 / $55,249.45 / $55,249.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.10 / $1,000.34 / $1,453.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.00 / $387.00 / $821.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.00 / $911.45 / $8,512.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $147.00 / $220.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.87 / $168.87 / $168.87