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Pennsylvania rates for HCPCS 11980

Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.71 / $2,070.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.83 / $83.80 / $155.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $96.20 / $96.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.66 / $92.00 / $166.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.80 / $142.44 / $146.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $93.02 / $291.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.40 / $120.40 / $126.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.50 / $94.50 / $94.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.67 / $92.00 / $179.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.83 / $78.45 / $98.99
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.83 / $89.32 / $97.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $577.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.28 / $102.59 / $179.71