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Pennsylvania rates for HCPCS 11720

Debridement of nail(s) by any method(s); 1 to 5

Facilitymedian $1,413 · 10th–90th $32–$7,2440%5%10th90th$1,413Professionalmedian $30 · 10th–90th $13–$740%10%20%10th90th$30$5.0$20.0$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
$32.36 / $1,513.56 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $30.20 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $50.12
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $19.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,258.93 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $52.48 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $28.84 / $51.29
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $50.12 / $54.95
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $36.31 / $53.70
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $154.88 / $346.74
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $24.55
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $1,737.80 / $6,606.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $27.54 / $58.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $54.95 / $128.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $20.42 / $53.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $20.42 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $436.52 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $26.92 / $46.77