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Pennsylvania rates for HCPCS A4615

Cannula, nasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.79 / $1,859.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.62 / $0.89
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
$0.90 / $1.02 / $1.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $1.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.24 / $1.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $1,859.65 / $1,859.65
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.62 / $2.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.50 / $2.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $0.61 / $1.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $1.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.97 / $0.97
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.97 / $0.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.51 / $0.89