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Pennsylvania rates for HCPCS 27043

Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater

Facilitymedian $4,266 · 10th–90th $813–$9,5500%10%10th90th$4,266Professionalmedian $513 · 10th–90th $427–$1,4450%20%40%10th90th$513$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $4,570.88 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $501.19 / $1,548.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $7,585.78 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $645.65 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $575.44 / $933.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $724.44 / $933.25
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $575.44 / $851.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $6,918.31 / $13,182.57
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $3,630.78 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $562.34 / $1,122.02
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $741.31 / $1,000.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $512.86 / $691.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $512.86 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,981.07 / $9,332.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $549.54 / $954.99