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Pennsylvania rates for HCPCS 15150

Cltr Skin Autograft T/A/L 1st 25 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.02 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.83 / $621.14 / $850.95
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
$699.07 / $725.45 / $1,266.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.94 / $724.91 / $1,302.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.50 / $1,092.22 / $1,136.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.94 / $660.02 / $3,292.63
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.92 / $1,084.92 / $1,084.92
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.48 / $743.19 / $1,308.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.51 / $623.99 / $688.80
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.51 / $660.27 / $731.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $1,734.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.25 / $780.68 / $1,329.07