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Pennsylvania rates for HCPCS 11981

Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable)

Facilitymedian $1,413 · 10th–90th $93–$7,2440%5%10th90th$1,413Professionalmedian $145 · 10th–90th $72–$3800%10%10th90th$145$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $1,412.54 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $147.91 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $95.50 / $165.96
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $9,772.37 / $15,488.17
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $107.15 / $186.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $263.03 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $112.20 / $194.98
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $165.96 / $186.21
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $131.83 / $181.97
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $588.84 / $1,000.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $123.03
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $7,244.36 / $13,489.63
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $107.15 / $107.15
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $1,288.25 / $5,754.40
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $104.71 / $213.80
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $239.88 / $562.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $125.89 / $501.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $97.72 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $467.74 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $100.00 / $169.82