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Pennsylvania rates for HCPCS 15738

Musc Myocutaneous/Fasciocutaneous Flap Lxtr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.97 / $3,627.00 / $7,175.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$553.77 / $582.49 / $582.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.39 / $1,211.20 / $1,978.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.03 / $1,306.54 / $1,306.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.83 / $1,444.85 / $2,521.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.05 / $1,935.06 / $2,004.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.50 / $7,067.21 / $9,942.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$582.49 / $582.49 / $582.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,101.77 / $1,367.95 / $3,052.94
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.10 / $1,400.10 / $1,467.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.69 / $1,429.69 / $1,429.69
Priority Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,133.07 / $1,133.07 / $1,133.07
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$141.63 / $141.63 / $141.63
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.66 / $1,458.26 / $2,641.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.46 / $1,237.28 / $1,237.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.46 / $1,237.28 / $1,307.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,384.00 / $3,331.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.09 / $1,418.37 / $2,509.78