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Pennsylvania rates for HCPCS 20240

Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $2,747.00 / $8,609.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.61 / $188.99 / $330.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.08 / $132.08 / $132.08
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
$140.00 / $145.29 / $145.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.68 / $159.68 / $159.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.31 / $217.51 / $347.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,321.47 / $3,072.74 / $12,111.16
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.65 / $146.63 / $242.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,389.00 / $8,609.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.43 / $194.84 / $585.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.70 / $317.70 / $399.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.68 / $159.68 / $159.68
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.69 / $215.14 / $370.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.55 / $136.55 / $272.37
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.43 / $137.21 / $272.37
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
$144.90 / $214.71 / $315.72