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Pennsylvania rates for HCPCS 28496

Prq Skel Fixj Fx Grt Toe Phlx/Phlg W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,747.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.00 / $465.00 / $465.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.23 / $1,059.23 / $2,085.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,120.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.00 / $465.00 / $465.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.07 / $253.79 / $479.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,781.00 / $4,300.00 / $10,443.12