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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

Facilitymedian $3,715 · 10th–90th $427–$8,7100%5%10%10th90th$3,715Professionalmedian $324 · 10th–90th $234–$7410%10%10th90th$324$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $3,715.35 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $323.59 / $776.25
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $275.42 / $316.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,165.95 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $331.13 / $537.03
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $524.81 / $575.44
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $562.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $6,309.57 / $9,772.37
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $331.13 / $602.56
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $316.23 / $316.23
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $1,819.70 / $7,413.10
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $323.59 / $630.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $562.34 / $1,318.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $331.13 / $467.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $331.13 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,981.07 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $331.13 / $588.84