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Pennsylvania rates for HCPCS 24920

Amputation Arm Thru Humerus Open Circular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.87 / $2,747.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.65 / $735.54 / $1,080.69
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
$740.36 / $790.98 / $1,340.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.97 / $836.97 / $836.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.88 / $886.97 / $1,475.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.93 / $1,187.72 / $1,512.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,427.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.65 / $765.98 / $3,639.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.80 / $952.80 / $1,503.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.97 / $836.97 / $836.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.88 / $907.99 / $1,486.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.18 / $720.18 / $870.55
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.80 / $723.96 / $870.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.35 / $887.79 / $1,368.56