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Pennsylvania rates for HCPCS 12036

Repair Intermediate S/A/T/E 20.1-30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.67 / $2,039.23 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.54 / $374.87 / $704.95
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
$425.95 / $442.02 / $442.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.58 / $412.91 / $656.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.40 / $665.23 / $688.69
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.63 / $1,713.94 / $2,950.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.40 / $2,381.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.33 / $404.45 / $1,201.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.50 / $400.50 / $422.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.57 / $478.57 / $478.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.31 / $421.93 / $680.97
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.77 / $282.99 / $419.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.77 / $409.73 / $449.64
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
$361.95 / $457.34 / $800.76