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Pennsylvania rates for HCPCS 32855

Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare pulmonary venous/atrial cuff, pulmonary artery, and bronchus; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.89 / $3,839.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.86 / $301.89 / $719.28
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.25 / $440.29 / $737.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.14 / $385.38 / $576.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.67 / $368.64 / $700.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.86 / $302.45 / $1,470.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.10 / $265.10 / $290.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.23 / $385.38 / $684.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.85 / $414.85 / $478.42
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.11 / $414.85 / $515.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.21 / $455.95 / $810.84