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Pennsylvania rates for HCPCS 01620

Anesthesia for all closed procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$263.03 / $426.58 / $1,778.28
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$162.18 / $162.18 / $162.18
Cigna
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$30.90 / $30.90 / $30.90
Geisinger
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$117.49 / $263.03 / $389.05
Highmark BCBS
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$269.15 / $380.19 / $389.05
Martin's Point
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$263.03 / $263.03 / $426.58