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Pennsylvania rates for HCPCS 15931

Excision Sacral Pressure Ulcer W/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
$2,450.00 / $5,951.00 / $8,887.00
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
$797.33 / $797.33 / $797.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.15 / $689.72 / $689.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,884.00 / $6,000.00