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Pennsylvania rates for HCPCS 13101

Repair Complex Trunk 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.49 / $1,569.00 / $6,012.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.20 / $355.77 / $946.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.82 / $361.14 / $520.03
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.53 / $401.47 / $680.38
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
$383.47 / $631.27 / $730.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.67 / $375.99 / $658.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.05 / $594.07 / $612.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.12 / $1,443.87 / $2,747.96
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.42 / $394.51 / $467.58
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.53 / $389.89 / $680.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.77 / $1,749.00 / $7,175.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.38 / $369.62 / $1,098.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.13 / $330.70 / $547.94
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $412.80 / $412.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.52 / $385.03 / $722.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.64 / $263.87 / $385.39
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.38 / $357.04 / $413.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $674.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.00 / $425.07 / $738.06