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Pennsylvania rates for HCPCS C8925

Transesophageal echocardiography (TEE) with contrast, or without contrast followed by with contrast, real time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,412.54 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,089.30 / $16,595.87
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,412.54 / $2,511.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,096.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,187.76 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44