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Pennsylvania rates for HCPCS 11970

Replacement of tissue expander with permanent implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $3,938.00 / $9,534.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,949.50 / $9,026.20 / $18,636.75
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,716.87 / $3,720.93 / $37,135.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,408.63 / $14,424.66 / $24,092.03
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,332.03 / $15,513.96 / $32,020.43
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,499.51 / $3,789.83 / $29,932.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.72 / $3,839.00 / $9,016.11
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,949.50 / $8,264.31 / $18,636.75
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.84 / $636.84 / $636.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.89 / $547.89 / $681.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.00 / $3,879.00 / $7,508.00