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Pennsylvania rates for HCPCS 17264

Destruction Malignant Lesion Trunk/Arm/Leg 3.1-4.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.13 / $1,978.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.76 / $178.68 / $313.37
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
$179.04 / $210.64 / $210.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.47 / $190.06 / $325.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.39 / $312.93 / $322.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,241.94 / $2,241.94 / $2,241.94
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.67 / $198.74 / $266.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.82 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.45 / $182.05 / $354.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $181.80 / $285.08
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.72 / $221.72 / $221.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.82 / $197.37 / $364.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.38 / $130.80 / $200.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.25 / $190.40 / $214.66
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
$171.84 / $217.67 / $378.60