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Pennsylvania rates for HCPCS P9020

Platelet Rich Plasma Each Unit (Special Coverage Instructions Apply. See Mcm: 2455 B)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.71 / $242.71 / $242.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.71 / $242.71 / $292.31
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
$35.32 / $36.65 / $36.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.39 / $263.39 / $263.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.04 / $116.04 / $116.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.71 / $242.71 / $242.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.71 / $242.71 / $292.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.39 / $263.39 / $263.39
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.04 / $116.04 / $116.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.90 / $49.90 / $49.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.90 / $49.90 / $49.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.70 / $57.70 / $57.70