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Pennsylvania rates for HCPCS 12037

Repair Intermediate S/A/T/E >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.13 / $2,747.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,807.24 / $3,807.24 / $3,807.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.00 / $2,679.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.04 / $555.04 / $555.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.38 / $335.59 / $479.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $2,391.00 / $6,000.00