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Pennsylvania rates for HCPCS 11960

Insertion of tissue expander(s) for other than breast, including subsequent expansion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.59 / $2,675.00 / $8,017.00
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
$7,179.24 / $12,346.50 / $12,386.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,120.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.92 / $1,150.92 / $1,150.92
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.99 / $984.49 / $984.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.00 / $3,475.00 / $6,368.00