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Pennsylvania rates for HCPCS 15877

Suction Assisted Lipectomy Trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.25 / $3,627.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $656.25 / $886.69
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
$589.63 / $611.88 / $611.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.00 / $590.45 / $2,832.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.80 / $12,386.00 / $20,543.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $656.25 / $1,949.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.00 / $1,569.00 / $1,569.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.45 / $2,363.85 / $3,365.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.57 / $742.57 / $742.57
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.57 / $742.57 / $742.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,440.00 / $3,475.00 / $6,368.00