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Pennsylvania rates for HCPCS 20102

Expl Penetrating Wound Spx Abdomen/Flank/Back

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,747.00 / $8,113.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,292.00 / $5,951.00 / $9,100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.16 / $435.16 / $435.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,137.72 / $4,137.72 / $10,560.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.04 / $4,264.00 / $8,427.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.16 / $435.16 / $435.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.18 / $247.87 / $587.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00