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Pennsylvania rates for HCPCS 15272

App Skn Sub Grft T/A/L Area/100sq Cm Ea Adl 25sc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.26 / $1,978.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.94 / $21.95 / $38.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.03 / $41.45 / $53.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $24.30 / $42.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.44 / $36.57 / $37.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.68 / $45.68 / $45.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,266.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.94 / $23.33 / $137.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.40 / $29.40 / $30.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.59 / $28.59 / $28.59
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.28 / $24.71 / $45.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.91 / $16.20 / $24.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.91 / $22.91 / $24.87
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
$22.67 / $28.78 / $51.65