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Pennsylvania rates for HCPCS C2615

Sealant, pulmonary, liquid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.37 / $239.37 / $304.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.37 / $239.37 / $1,125.84
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $967.00 / $967.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.37 / $239.37 / $304.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.37 / $239.37 / $519.00