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Pennsylvania rates for HCPCS D0330

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.89 / $37.60 / $37.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.89 / $37.60 / $58.85
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
$42.26 / $43.86 / $43.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.64 / $50.64 / $50.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.60 / $37.60 / $37.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.89 / $47.90 / $68.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $42.00 / $59.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.64 / $50.64 / $50.64