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Pennsylvania rates for HCPCS 28665

Cltx Interphalangeal Joint Dislocation Req Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.48 / $141.33 / $210.17
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.44 / $157.16 / $220.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.30 / $168.46 / $285.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.20 / $235.93 / $307.80
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.74 / $128.29 / $154.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.21 / $156.19 / $686.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.95 / $191.60 / $309.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.30 / $171.33 / $294.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.66 / $142.25 / $154.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.01 / $183.75 / $303.62