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Pennsylvania rates for HCPCS 19105

Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $5,370.32 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $1,584.89 / $3,162.28
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,162.28 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $537.03 / $3,801.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,365.16
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $2,630.27 / $4,466.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,570.88 / $8,511.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $1,584.89 / $5,495.41
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $4,168.69 / $5,370.32
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $588.84 / $2,238.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $407.38 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,981.07 / $12,022.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $1,412.54 / $3,801.89