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Pennsylvania rates for HCPCS 11772

Excision Pilonidal Cyst/Sinus Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.21 / $4,432.00 / $10,007.58
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
$3,451.60 / $6,672.19 / $11,949.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.41 / $4,543.00 / $10,094.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.12 / $976.12 / $976.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.81 / $564.71 / $750.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,884.00 / $6,000.00