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Pennsylvania rates for HCPCS 24930

Amputation Arm Thru Humerus Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.12 / $2,747.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.53 / $774.57 / $1,139.27
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
$780.24 / $835.12 / $1,418.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.60 / $881.60 / $881.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.24 / $938.39 / $1,561.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.42 / $1,250.69 / $1,593.26
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
$705.36 / $811.25 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.80 / $971.80 / $1,587.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.60 / $881.60 / $881.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.77 / $958.44 / $1,568.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.97 / $758.97 / $789.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.21 / $763.13 / $804.30
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
$685.92 / $941.38 / $1,498.93