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Pennsylvania rates for HCPCS 10121

Incision & Removal Foreign Body Subq Tiss Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.84 / $2,543.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.19 / $243.18 / $928.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $4,354.00 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.52 / $269.31 / $269.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.97 / $261.73 / $424.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.92 / $401.04 / $413.77
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.43 / $2,901.34 / $5,691.87
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.74 / $262.74 / $262.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.01 / $2,543.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.65 / $261.70 / $1,114.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.20 / $232.20 / $244.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.58 / $310.58 / $310.58
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.51 / $269.77 / $480.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.82 / $191.93 / $256.58
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.82 / $237.34 / $274.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,734.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.62 / $294.06 / $531.05