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Pennsylvania rates for HCPCS 17003

Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); second through 14 lesions, each (List separately in addition to code for first lesion)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $178.87 / $3,839.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $28.35 / $91.80
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$0.90 / $2.90 / $4.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $6.01 / $9.91
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $6.40 / $10.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $9.27 / $23.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.00 / $259.00 / $259.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $5.96 / $12.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.78 / $10.00 / $10.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.80 / $25.61 / $26.14
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $6.93 / $11.63
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $6.75 / $10.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.04 / $1,013.00 / $6,432.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $17.34 / $92.00
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$0.90 / $2.79 / $4.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $8.78 / $16.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $3.42 / $259.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $6.09 / $12.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $6.41 / $14.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.97 / $6.30 / $8.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $674.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $7.30 / $11.53