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Pennsylvania rates for HCPCS 13100

Repair, complex, trunk; 1.1 cm to 2.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.98 / $2,543.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.03 / $290.22 / $556.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.38 / $283.38 / $283.38
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
$330.09 / $440.84 / $596.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.19 / $315.99 / $532.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.16 / $511.92 / $527.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,483.76 / $1,483.76 / $1,766.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.02 / $308.02 / $335.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,675.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.58 / $296.70 / $941.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.17 / $275.39 / $474.46
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.06 / $338.06 / $338.06
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.87 / $323.83 / $578.14
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.59 / $223.54 / $330.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.59 / $283.69 / $355.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $650.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.00 / $358.19 / $628.85