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Pennsylvania rates for HCPCS 21602

Excision Ch Wal Tum W/Rib W/O Medstnl Lymphadec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.00 / $4,048.00 / $8,451.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.24 / $1,728.24 / $1,728.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $4,993.00 / $10,247.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.24 / $1,728.24 / $1,728.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,497.38 / $1,497.38 / $1,764.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00