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Pennsylvania rates for HCPCS 24346

Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $5,128.61 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,148.15 / $3,548.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,000.00 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,148.15 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $2,187.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,659.59 / $2,137.96
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,348.96 / $2,187.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $19,952.62 / $77,624.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,230.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $4,265.80 / $8,511.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,479.11 / $3,235.94
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $2,238.72
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,548.82 / $2,344.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,380.38 / $1,698.24
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,096.48 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,466.84 / $39,810.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,258.93 / $2,089.30