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Pennsylvania rates for HCPCS 21615

Excision 1st &/Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $4,262.00 / $10,247.00
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
$708.76 / $708.76 / $708.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,126.39 / $7,606.60 / $75,989.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $5,350.00 / $10,247.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$708.76 / $708.76 / $708.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.67 / $606.67 / $855.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00