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Pennsylvania rates for HCPCS 23397

Muscle Transfer Shoulder/Upper Arm Multiple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.00 / $4,250.00 / $10,398.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.43 / $1,140.34 / $1,668.64
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
$1,141.13 / $1,184.19 / $1,184.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.18 / $1,294.18 / $1,294.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.88 / $1,397.26 / $2,294.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.04 / $1,824.10 / $2,323.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,719.66 / $15,719.66 / $15,719.66
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.36 / $1,130.36 / $1,158.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $5,511.00 / $11,083.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.43 / $1,276.41 / $5,602.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.00 / $1,438.00 / $2,328.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.18 / $1,294.18 / $1,294.18
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.88 / $1,415.62 / $2,375.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.40 / $1,114.40 / $1,258.35
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.99 / $1,122.11 / $1,258.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $6,885.00 / $22,992.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.52 / $1,402.53 / $2,176.48