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Pennsylvania rates for HCPCS 21012

Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater

Facilitymedian $2,692 · 10th–90th $575–$8,3180%10%10th90th$2,692Professionalmedian $417 · 10th–90th $302–$1,2300%20%10th90th$417$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $416.87 / $1,258.93
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $501.19
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,691.53 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $467.74 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $407.38 / $676.08
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $524.81 / $660.69
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $416.87 / $602.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,890.45 / $9,332.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $1,819.70 / $7,413.10
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $426.58 / $812.83
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $489.78 / $707.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $645.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $354.81 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,570.40 / $5,495.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $389.05 / $676.08