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Pennsylvania rates for HCPCS 15271

App Skn Sub Grft T/A/L Area/100sq Cm /<1st 25

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,747.00 / $7,317.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.79 / $126.56 / $244.48
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
$149.63 / $243.47 / $280.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.43 / $141.16 / $234.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.12 / $231.58 / $238.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,594.33 / $4,502.89 / $8,412.81
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.94 / $147.47 / $151.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.22 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $134.56 / $426.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.69 / $162.69 / $185.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.97 / $142.97 / $142.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.05 / $143.81 / $241.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.36 / $81.30 / $148.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.36 / $128.33 / $159.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.68 / $165.71 / $293.52