go back

Pennsylvania rates for HCPCS 92941

Prq Trluml Coronry Tot Occlus Revasc Mi One Vsl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.08 / $3,839.00 / $15,530.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$123.89 / $141.22 / $141.22
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,765.15 / $46,478.00 / $77,850.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,570.00 / $8,956.00 / $12,668.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.08 / $5,868.00 / $22,214.00
Martin's Point
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$141.22 / $141.22 / $141.22
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,624.00 / $7,463.00 / $23,196.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.73 / $634.09 / $634.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $7,000.00 / $36,783.00