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Pennsylvania rates for HCPCS 35903

Excision of infected graft; extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $6,606.93 / $14,454.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $5,370.32 / $11,220.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $691.83 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $3,981.07 / $9,772.37