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Pennsylvania rates for HCPCS 12056

Repair Intermediate F/E/E/N/L&/Muc 20.1-30.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.67 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.06 / $445.37 / $624.94
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
$565.61 / $586.95 / $586.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.48 / $533.59 / $883.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.41 / $882.52 / $912.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.06 / $505.06 / $2,025.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.29 / $534.29 / $564.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.47 / $648.47 / $648.47
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.29 / $550.35 / $907.64
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.33 / $373.81 / $563.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.82 / $514.91 / $604.61
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
$463.26 / $593.64 / $1,058.76