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Pennsylvania rates for HCPCS 21558

Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $3,066.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.73 / $1,522.73 / $1,522.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,045.38 / $6,045.38 / $6,045.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.73 / $1,522.73 / $1,522.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.53 / $1,314.53 / $1,376.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.00 / $2,824.00 / $5,678.00