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Pennsylvania rates for HCPCS 28495

Cltx Fx Grt Toe Phlx/Phlg W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.71 / $163.80 / $268.08
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.45 / $218.99 / $320.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.63 / $195.60 / $325.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.41 / $292.08 / $378.97
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.58 / $231.58 / $231.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.84 / $181.22 / $641.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.40 / $197.50 / $374.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.16 / $198.64 / $332.83
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.76 / $161.41 / $186.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.22 / $204.67 / $337.94