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Pennsylvania rates for HCPCS 23552

Optx Acromclav Dislc Acute/Chronic W/Fascial Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.20 / $4,122.00 / $12,381.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.07 / $739.07 / $739.07
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$73.78 / $73.78 / $73.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,664.86 / $15,175.09 / $31,051.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $9,211.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.07 / $739.07 / $739.07
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$73.78 / $73.78 / $73.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.24 / $637.24 / $689.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00