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Pennsylvania rates for HCPCS 21016

Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.50 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.77 / $1,021.13 / $1,619.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.56 / $1,449.29 / $2,188.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.59 / $1,140.59 / $1,140.59
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.96 / $112.96 / $112.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.87 / $1,275.72 / $2,057.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.66 / $1,596.77 / $2,039.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.86 / $1,118.00 / $3,096.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.70 / $957.70 / $2,122.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,140.59 / $1,140.59 / $1,140.59
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$112.96 / $112.96 / $112.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.87 / $1,279.39 / $2,140.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.25 / $986.25 / $1,038.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.45 / $992.70 / $1,041.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.93 / $1,224.79 / $1,978.10