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Pennsylvania rates for HCPCS 11922

Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; each additional 20.0 sq cm, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $52.48 / $151.36
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $102.33 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $56.23 / $100.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $102.33 / $114.82
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $79.43 / $123.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $54.95 / $190.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $58.88 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $50.12 / $91.20