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Pennsylvania rates for HCPCS 11426

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.24 / $2,809.00 / $8,709.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.35 / $294.80 / $540.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.45 / $524.28 / $524.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.69 / $328.07 / $565.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.66 / $502.28 / $518.69
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.70 / $5,886.94 / $9,683.06
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.00 / $315.00 / $328.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.81 / $2,751.21 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.62 / $329.13 / $804.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.05 / $337.64 / $478.99
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.76 / $457.76 / $457.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.31 / $333.92 / $592.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.93 / $262.89 / $329.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.03 / $313.57 / $342.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,884.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.64 / $347.54 / $604.33