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Pennsylvania rates for HCPCS 40510

Exc Lip Transvrs Wedge Exc W/Prim Clsr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.98 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.48 / $438.67 / $592.16
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $7,463.00 / $11,048.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.57 / $497.66 / $497.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.83 / $482.99 / $782.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.00 / $741.85 / $765.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.33 / $494.57 / $1,851.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.00 / $511.00 / $540.79
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.55 / $591.55 / $591.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.59 / $495.16 / $819.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.06 / $413.43 / $476.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.97 / $464.51 / $509.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,884.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.58 / $536.66 / $906.18