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Pennsylvania rates for HCPCS 12053

Repair Intermediate F/E/E/N/L&/Muc 5.1-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.23 / $1,390.43 / $6,012.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.28 / $297.30 / $546.04
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
$352.13 / $365.42 / $365.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.40 / $318.70 / $548.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.50 / $545.79 / $562.59
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.13 / $814.35 / $1,468.42
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.50 / $348.12 / $411.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.00 / $1,633.00 / $7,175.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.37 / $316.95 / $619.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.06 / $287.58 / $506.88
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.79 / $362.79 / $362.79
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.98 / $329.00 / $568.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.97 / $209.17 / $353.34
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.62 / $277.41 / $379.64
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
$284.61 / $366.67 / $620.60