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Pennsylvania rates for HCPCS 24301

Muscle/Tendon Transfer Upper Arm/Elbow Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.33 / $2,747.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.93 / $855.93 / $855.93
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.08 / $85.08 / $85.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,218.76 / $10,218.76 / $13,084.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,534.00 / $8,404.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.93 / $855.93 / $855.93
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.08 / $85.08 / $85.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.37 / $739.37 / $758.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00