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Pennsylvania rates for HCPCS 12031

Repair Intermediate S/A/T/E 2.5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.69 / $871.77 / $3,964.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.72 / $229.23 / $494.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.33 / $241.55 / $384.89
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.46 / $262.45 / $445.47
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
$243.97 / $248.76 / $248.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.94 / $238.90 / $400.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.82 / $394.48 / $406.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.45 / $695.72 / $1,348.26
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.78 / $255.19 / $409.47
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.46 / $262.45 / $445.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.22 / $965.00 / $4,211.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.44 / $242.88 / $526.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.74 / $204.83 / $364.74
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.70 / $253.70 / $253.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.19 / $239.19 / $421.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.53 / $146.90 / $254.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.53 / $211.39 / $274.51
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
$200.94 / $254.73 / $438.03