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Pennsylvania rates for HCPCS 40520

Exc Lip V-Exc W/Prim Dir Linr Clsr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.04 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.29 / $468.05 / $623.28
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.38 / $514.07 / $842.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.85 / $497.42 / $827.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.73 / $768.51 / $793.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,980.98 / $6,980.98 / $6,980.98
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
$355.66 / $528.65 / $1,877.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.10 / $537.10 / $569.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.57 / $606.57 / $606.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.64 / $510.51 / $827.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.10 / $431.99 / $492.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.10 / $460.39 / $527.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $2,391.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.02 / $566.16 / $921.94