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Pennsylvania rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.51 / $2,938.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.58 / $689.66 / $1,051.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,450.00 / $5,951.00 / $8,887.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.07 / $804.32 / $1,445.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.38 / $781.04 / $1,382.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.58 / $1,187.46 / $1,223.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,192.80 / $3,342.14 / $8,506.79
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.26 / $748.16 / $1,316.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.48 / $732.79 / $1,544.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.50 / $752.50 / $791.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.68 / $1,095.68 / $1,095.68
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.90 / $804.32 / $1,401.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.10 / $630.45 / $759.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.54 / $666.41 / $808.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $2,391.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.29 / $862.91 / $1,535.86