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Pennsylvania rates for HCPCS 28114

Ostc Compl All Metar Heads W/Prtl Prox Phalangc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.06 / $2,747.00 / $7,197.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.58 / $1,427.58 / $1,427.58
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$142.76 / $142.76 / $142.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,748.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,427.58 / $1,427.58 / $1,427.58
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$142.76 / $142.76 / $142.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.07 / $816.50 / $1,031.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00