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Pennsylvania rates for RC 0189

Leave Of Absence/Other

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,525.00 / $1,525.00 / $4,301.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,275.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,525.00 / $1,525.00 / $4,301.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,275.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.00 / $992.00 / $12,388.00