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Pennsylvania rates for HCPCS 11921

Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $190.55 / $616.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,570.40 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $316.23 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $204.17 / $363.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $363.08 / $398.11
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $281.84 / $416.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $2,344.23 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $208.93 / $645.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $165.96 / $309.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $128.82 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $1,318.26 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $186.21 / $323.59