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Pennsylvania rates for HCPCS 28106

Exc/Curtg Cst/B9 Tum Tarsal/Metar W/Iliac/Agrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,142.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.08 / $430.68 / $634.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,393.00 / $11,479.00 / $18,724.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $446.52 / $783.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.10 / $487.10 / $487.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.24 / $543.08 / $879.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.74 / $656.05 / $859.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,505.80 / $11,505.80 / $11,505.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.92 / $496.31 / $2,281.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.70 / $628.70 / $930.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.10 / $487.10 / $487.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.34 / $548.00 / $901.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.50 / $415.50 / $560.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.29 / $415.50 / $560.79
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
$421.61 / $535.30 / $827.99