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Pennsylvania rates for HCPCS 92575

Sensorineural Acuity Level

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.14 / $67.40 / $82.75
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.56 / $73.23 / $120.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.05 / $69.89 / $129.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.48 / $98.61 / $147.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.14 / $67.40 / $93.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.60 / $14.60 / $108.45
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.47 / $73.22 / $124.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $70.48 / $77.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.04 / $62.24 / $121.82