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Pennsylvania rates for HCPCS 15920

Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,745.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.04 / $2,594.00 / $5,296.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,964.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.79 / $719.79 / $719.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.47 / $625.47 / $625.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $2,391.00 / $6,000.00