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Pennsylvania rates for HCPCS 11971

Removal of tissue expander without insertion of implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,691.53 / $2,691.53 / $5,370.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,165.95 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,888.44 / $7,585.78
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,370.32 / $6,165.95 / $15,135.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $2,290.87 / $8,317.64
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,691.53 / $2,691.53 / $5,370.32
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $309.03 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,548.13 / $8,912.51