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Pennsylvania rates for HCPCS 13133

Repair Complex F/C/C/M/N/Ax/G/H/F Ea Addl 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.74 / $1,378.81 / $6,012.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.28 / $153.15 / $273.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.06 / $155.06 / $155.06
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
$165.34 / $171.58 / $280.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.09 / $169.35 / $288.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.34 / $252.44 / $260.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.34 / $769.34 / $1,696.33
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.37 / $160.52 / $313.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.00 / $1,819.00 / $7,197.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.87 / $158.19 / $673.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.00 / $157.19 / $237.29
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.32 / $211.32 / $211.32
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.37 / $172.04 / $317.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.39 / $123.41 / $163.76
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.39 / $144.15 / $173.82
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
$142.56 / $190.42 / $325.12