go back

Pennsylvania rates for HCPCS C1734

Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,333.10 / $6,258.66 / $11,470.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,160.84 / $5,160.84 / $8,640.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $967.00 / $967.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.91 / $3,467.91 / $3,467.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.10 / $4,515.84 / $12,423.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,333.10 / $6,640.00 / $22,460.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,796.00 / $5,160.84 / $15,936.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.91 / $3,467.91 / $3,467.91