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Pennsylvania rates for HCPCS 20665

Removal of tongs or halo applied by another individual

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.00 / $2,070.00 / $7,197.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.33 / $167.33 / $167.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,266.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.33 / $167.33 / $167.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.99 / $96.51 / $133.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.00 / $962.15 / $3,742.00