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Pennsylvania rates for HCPCS 28173

Radical Resection Tumor Metatarsal

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
$651.65 / $719.23 / $1,068.63
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.81 / $758.38 / $758.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.15 / $833.15 / $833.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.13 / $823.18 / $1,439.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.31 / $1,101.08 / $1,446.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,853.46 / $6,853.46 / $6,853.46
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
$654.37 / $791.21 / $3,502.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.50 / $869.50 / $1,561.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.15 / $833.15 / $833.15
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.95 / $847.04 / $1,444.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.26 / $710.26 / $729.64
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.82 / $711.75 / $739.68
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
$680.37 / $872.14 / $1,484.09