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Pennsylvania rates for HCPCS 19112

Excision of lactiferous duct fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.25 / $3,494.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.92 / $405.09 / $739.28
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
$391.32 / $569.49 / $826.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.50 / $475.00 / $839.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.20 / $725.91 / $725.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,773.80 / $5,773.80 / $10,816.09
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.69 / $395.69 / $395.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.98 / $431.36 / $1,119.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $465.90 / $1,242.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.20 / $496.42 / $839.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.02 / $314.14 / $571.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.43 / $436.62 / $481.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.72 / $529.44 / $899.89