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Pennsylvania rates for HCPCS 13102

Repair Complex Trunk Each Additional 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.29 / $1,664.85 / $6,012.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.62 / $98.92 / $195.07
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
$113.38 / $117.66 / $117.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $109.27 / $182.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.49 / $175.49 / $181.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.08 / $729.63 / $2,564.67
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.08 / $114.68 / $192.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.34 / $1,664.85 / $7,175.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.22 / $107.57 / $509.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.08 / $92.23 / $169.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.20 / $121.20 / $121.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.44 / $111.08 / $207.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.67 / $69.95 / $113.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.67 / $88.39 / $121.10
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
$96.69 / $129.97 / $233.39