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Pennsylvania rates for HCPCS 21627

Sternal Debridement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.00 / $3,830.00 / $8,240.00
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
$620.10 / $620.10 / $620.10
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$61.67 / $61.67 / $61.67
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,597.00 / $8,404.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.10 / $620.10 / $620.10
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$61.67 / $61.67 / $61.67
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.70 / $531.70 / $695.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00