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Pennsylvania rates for HCPCS 24077

Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.98 / $3,066.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.84 / $1,028.80 / $1,581.24
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.23 / $1,067.03 / $1,907.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.61 / $1,167.61 / $1,167.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.39 / $1,164.04 / $2,030.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.63 / $1,652.85 / $2,092.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.88 / $1,099.67 / $3,494.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.80 / $1,135.80 / $2,117.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.61 / $1,167.61 / $1,167.61
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.02 / $1,228.85 / $2,086.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.65 / $1,011.08 / $1,011.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.65 / $1,011.08 / $1,068.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.14 / $1,214.84 / $2,085.69