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Pennsylvania rates for HCPCS 19316

Mastopexy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.31 / $4,761.00 / $9,211.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,360.50 / $6,860.35 / $20,923.02
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,536.38 / $13,292.72 / $20,755.88
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,519.70 / $13,016.69 / $15,921.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.00 / $4,761.00 / $9,531.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,360.50 / $6,860.35 / $20,923.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.49 / $773.49 / $1,028.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00