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Pennsylvania rates for HCPCS 15936

Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $4,304.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.98 / $1,014.98 / $1,014.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.64 / $881.33 / $881.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $2,391.00 / $6,000.00