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Pennsylvania rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.61 / $2,381.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.93 / $314.94 / $528.62
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
$371.06 / $385.07 / $643.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.82 / $333.73 / $578.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.94 / $575.91 / $594.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.39 / $1,060.85 / $1,397.74
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.08 / $366.59 / $380.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.57 / $2,467.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.93 / $336.19 / $1,056.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.03 / $312.39 / $550.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.78 / $372.78 / $372.78
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.39 / $344.47 / $599.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.96 / $214.23 / $373.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.64 / $307.89 / $401.37
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
$306.08 / $393.63 / $732.31