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Pennsylvania rates for HCPCS 15740

Flap Island Pedicle Anatomic Named Axial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.97 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.99 / $897.51 / $2,172.63
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.82 / $1,043.78 / $1,043.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.08 / $997.27 / $1,787.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.21 / $1,552.12 / $1,603.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.40 / $4,551.00 / $6,270.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.47 / $1,017.78 / $2,333.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.90 / $1,121.90 / $1,160.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,422.45 / $1,422.45 / $1,422.45
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.10 / $1,031.29 / $1,914.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.83 / $817.82 / $981.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.87 / $865.80 / $1,046.42
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
$846.60 / $1,084.52 / $1,943.95