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Pennsylvania rates for HCPCS 12020

Treatment of superficial wound dehiscence; simple closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.45 / $1,013.00 / $6,012.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.16 / $238.23 / $353.39
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.07 / $553.74 / $553.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.11 / $285.10 / $457.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.62 / $454.65 / $469.57
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.46 / $1,712.90 / $3,607.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.61 / $287.61 / $287.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $1,541.00 / $7,175.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.94 / $268.45 / $597.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $227.90 / $305.08
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.04 / $319.04 / $319.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.68 / $289.32 / $519.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.31 / $183.35 / $291.17
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.13 / $217.66 / $312.74
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
$236.61 / $307.45 / $544.62