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Pennsylvania rates for HCPCS 10121

Incision and removal of foreign body, subcutaneous tissues; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $3,388.44 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $269.15 / $1,148.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $269.15 / $426.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $467.74
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $323.59 / $489.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,235.94 / $5,623.41
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $2,570.40 / $7,943.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $281.84 / $758.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $257.04 / $416.87
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $263.03 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $2,630.27 / $5,888.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $426.58