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Pennsylvania rates for HCPCS 20922

Fascia Lata Graft Incision & Area Exposure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.65 / $2,791.00 / $7,629.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.53 / $848.53 / $848.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,838.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.53 / $848.53 / $848.53
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.98 / $490.10 / $592.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00