go back

Pennsylvania rates for HCPCS 28715

Arthrodesis; triple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $4,304.00 / $9,211.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.22 / $1,067.22 / $1,067.22
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$105.84 / $105.84 / $105.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.32 / $30,829.00 / $121,436.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.00 / $5,016.00 / $9,211.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.22 / $1,067.22 / $1,067.22
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$105.84 / $105.84 / $105.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.04 / $919.04 / $1,057.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00