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Pennsylvania rates for HCPCS 11771

Excision of pilonidal cyst or sinus; extensive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.71 / $3,566.00 / $9,077.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,816.90 / $7,512.37 / $12,705.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.33 / $3,803.60 / $8,632.87
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.70 / $762.70 / $762.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.67 / $438.76 / $611.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,884.00 / $6,000.00