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Pennsylvania rates for HCPCS 15845

Grf Facial Nerve Paralysis Regional Muscle Tr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.09 / $4,304.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.91 / $927.67 / $1,300.86
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
$1,060.71 / $1,100.74 / $1,100.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.09 / $1,100.73 / $1,974.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.80 / $1,635.17 / $1,692.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.13 / $1,015.59 / $5,352.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.70 / $1,057.70 / $1,112.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.65 / $1,199.65 / $1,199.65
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.63 / $1,150.77 / $2,109.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.69 / $1,033.69 / $1,045.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.69 / $1,036.73 / $1,096.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.00 / $3,475.00 / $6,368.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.41 / $1,064.22 / $2,001.09