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Pennsylvania rates for HCPCS 20969

Free Ostq Flap W/Mvasc Anast Metar/Great Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $3,830.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $25,716.00 / $39,341.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,074.84 / $3,074.84 / $3,074.84
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,890.19 / $1,890.19 / $1,890.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,597.00 / $8,404.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,074.84 / $3,074.84 / $3,074.84
Priority Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$1,890.19 / $1,890.19 / $1,890.19
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,655.82 / $2,655.82 / $3,561.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,670.17 / $2,912.00 / $7,000.00