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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
$1,047.13 / $4,786.30 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,398.83 / $57,543.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $3,801.89 / $8,317.64
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $630.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,754.23 / $8,912.51