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Pennsylvania rates for HCPCS 15935

Excision, sacral pressure ulcer, with skin flap closure; with ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,058.76 / $4,304.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.94 / $1,012.47 / $1,414.09
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
$1,153.03 / $1,196.54 / $1,196.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.95 / $1,225.60 / $2,205.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.61 / $1,776.36 / $1,838.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.60 / $1,129.25 / $6,059.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.00 / $1,186.00 / $1,244.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.43 / $1,303.43 / $1,303.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.91 / $1,256.86 / $2,277.67
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.08 / $1,127.49 / $1,127.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.08 / $1,127.49 / $1,195.47
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
$987.32 / $1,219.63 / $2,175.21