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Pennsylvania rates for HCPCS 93975

Dup-Scan Artl Flo Abdl/Pel/Scrot&/Rpr Orgn Com

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.28 / $58.41 / $115.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.44 / $302.12 / $1,124.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.49 / $95.20 / $361.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.34 / $199.91 / $357.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.24 / $200.20 / $437.93
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.50 / $54.67 / $89.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.36 / $151.36 / $305.95
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.41 / $318.64 / $735.43
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.11 / $68.53 / $404.14
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.52 / $308.00 / $520.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.65 / $89.09 / $181.93
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.87 / $328.27 / $506.31
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.58 / $62.58 / $62.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.76 / $402.00 / $628.17
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.31 / $93.00 / $151.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.62 / $311.14 / $481.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.48 / $407.35 / $824.33
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.37 / $80.78 / $163.47
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.12 / $326.57 / $660.86
Highmark BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$153.77 / $153.77 / $153.77
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.45 / $326.76 / $382.62
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.77 / $71.97 / $104.04
Highmark BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$366.79 / $369.24 / $369.24
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.41 / $297.26 / $735.43
Independence Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.41 / $60.94 / $166.05
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.60 / $72.36 / $181.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.06 / $362.71 / $1,012.50
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.93 / $96.05 / $290.56
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.77 / $240.86 / $481.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $340.90 / $685.90
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.58 / $62.58 / $62.58
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.74 / $393.54 / $628.17
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.31 / $90.55 / $156.21
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.62 / $309.58 / $489.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.39 / $54.39 / $93.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.80 / $254.81 / $358.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.76 / $54.66 / $93.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$196.14 / $200.41 / $265.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.50 / $333.77 / $554.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.67 / $76.91 / $122.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.20 / $266.31 / $436.99