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Pennsylvania rates for HCPCS 20955

Bone graft with microvascular anastomosis; fibula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $3,830.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,219.13 / $2,483.62 / $3,746.41
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,430.44 / $2,522.16 / $2,522.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,764.30 / $2,764.30 / $2,764.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,350.00 / $3,060.90 / $4,948.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,835.60 / $3,811.37 / $4,897.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,409.02 / $13,409.02 / $13,409.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,597.00 / $8,404.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,219.13 / $2,592.69 / $7,526.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,322.50 / $3,322.50 / $5,114.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,764.30 / $2,764.30 / $2,764.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,350.00 / $3,095.38 / $5,219.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,405.51 / $2,405.51 / $3,187.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,330.48 / $2,418.98 / $3,187.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,312.34 / $3,033.07 / $4,930.18