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Pennsylvania rates for HCPCS 12005

Smpl Rpr Scalp/Neck/Ax/Genit/Trunk 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.05 / $1,685.07 / $7,175.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.41 / $154.04 / $407.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.68 / $180.24 / $378.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.64 / $172.04 / $326.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.02 / $270.02 / $279.57
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.85 / $1,074.80 / $2,470.13
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.52 / $162.52 / $162.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.89 / $2,202.00 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.29 / $164.05 / $778.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.24 / $256.89 / $256.89
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.44 / $162.44 / $162.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.46 / $175.62 / $359.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.98 / $155.40 / $217.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.98 / $167.68 / $183.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $674.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.84 / $199.80 / $335.29