go back

Pennsylvania rates for HCPCS 38115

Rpr Rptd Spleen Splenorrhaphy W/Wo Prtl Splenect

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.61 / $3,839.00 / $8,113.00
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
$500.00 / $800.00 / $2,151.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,895.21 / $2,895.21 / $2,895.21
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$995.60 / $995.60 / $995.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.20 / $1,262.52 / $1,262.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00