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Pennsylvania rates for HCPCS 15005

Prep Site F/S/N/H/F/G/M/D Gt Addl 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.46 / $2,070.00 / $7,629.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,064.00 / $2,064.00 / $2,064.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,326.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.33 / $152.33 / $2,064.00
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$15.23 / $15.23 / $15.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.61 / $87.13 / $113.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $650.00 / $4,300.00