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Pennsylvania rates for HCPCS 11643

Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm

Facilitymedian $3,631 · 10th–90th $389–$8,3180%5%10th90th$3,631Professionalmedian $282 · 10th–90th $195–$5500%10%10th90th$282$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
$389.05 / $3,715.35 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $281.84 / $549.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,691.53 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $309.03 / $512.86
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $489.78 / $537.03
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $371.54 / $524.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,981.07 / $8,128.31
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $309.03 / $346.74
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $2,454.71 / $7,762.47
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $281.84 / $524.81
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $549.54 / $1,258.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $309.03 / $416.87
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $302.00 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,570.40 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $295.12 / $501.19