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Pennsylvania rates for HCPCS 28090

Exc Lesion Tendon Sheath/Capsule W/Synvct Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.68 / $2,771.86 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.41 / $427.64 / $783.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.07 / $294.07 / $294.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,292.00 / $5,951.00 / $9,100.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.11 / $471.25 / $850.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.62 / $527.62 / $527.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.77 / $460.11 / $800.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.30 / $720.46 / $934.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.77 / $4,563.85 / $5,977.24
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.19 / $318.72 / $467.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.04 / $3,213.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.07 / $455.38 / $991.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.70 / $490.70 / $1,022.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.62 / $527.62 / $527.62
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.24 / $469.96 / $826.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.77 / $374.43 / $460.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.25 / $439.94 / $479.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.75 / $541.22 / $873.74