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Pennsylvania rates for HCPCS 15136

Dermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.66 / $2,240.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.56 / $83.58 / $110.26
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.23 / $99.86 / $180.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.20 / $98.83 / $178.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.75 / $147.54 / $152.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,371.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.86 / $87.66 / $1,023.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.97 / $151.97 / $151.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.98 / $100.95 / $186.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.26 / $89.30 / $95.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.26 / $91.71 / $98.68
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
$80.67 / $106.12 / $186.01