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Pennsylvania rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $66.07 / $91.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $263.03
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $208.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $57.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $66.07 / $95.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $194.98 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $125.89 / $134.90