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Pennsylvania rates for HCPCS 22015

I&D Deep Abscess Pst Spine Lumbar Sac/Lumbosac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $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
$1,081.74 / $1,081.74 / $1,081.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $4,993.00 / $10,247.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,081.74 / $1,081.74 / $1,081.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.22 / $846.68 / $930.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00