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Pennsylvania rates for HCPCS A4301

Implantable Access Total Catheter Port/Reservoir (E.G. Venous Arterial Epidural Or Subarachnoid Peritoneal Etc.) (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.49 / $34.49 / $363.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $34.49 / $43.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.98 / $348.66 / $348.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.49 / $243.60 / $414.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.33 / $34.49 / $43.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02