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Pennsylvania rates for HCPCS 20103

Exploration Penetrating Wound Spx Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.70 / $2,464.17 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,404.00 / $4,354.00 / $8,639.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.12 / $585.12 / $585.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,720.68 / $5,464.22 / $18,064.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.70 / $1,901.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.12 / $585.12 / $585.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.88 / $337.32 / $547.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$471.00 / $1,219.00 / $3,742.00