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Pennsylvania rates for HCPCS 15822

Blepharoplasty, upper eyelid;

Facilitymedian $4,786 · 10th–90th $589–$8,3180%5%10%10th90th$4,786Professionalmedian $813 · 10th–90th $562–$2,6920%20%40%10th90th$813$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $4,073.80 / $8,317.64
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,073.80 / $5,128.61 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$562.34 / $812.83 / $2,691.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,248.07 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$676.08 / $1,047.13 / $1,202.26
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,818.38 / $3,090.30 / $9,332.54
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $3,630.78 / $7,244.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $512.86 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $2,884.03 / $6,606.93