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Pennsylvania rates for HCPCS 21616

Excision 1st &/Cervical Rib W/Sympathectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,048.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.10 / $723.16 / $1,041.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.06 / $778.91 / $1,329.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.77 / $813.77 / $813.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.51 / $916.10 / $1,506.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.55 / $1,147.36 / $1,439.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,405.95 / $6,405.95 / $6,405.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $4,993.00 / $10,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.10 / $876.90 / $3,635.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.80 / $971.80 / $1,718.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.77 / $813.77 / $813.77
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.51 / $922.40 / $1,636.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.36 / $694.36 / $840.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.04 / $706.99 / $840.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.13 / $924.08 / $1,464.54