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Pennsylvania rates for HCPCS 40525

Exc Lip Full Thkns Rcnstj W/Local Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $2,747.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,190.80 / $5,190.80 / $5,190.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,389.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.02 / $624.02 / $624.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.69 / $539.69 / $758.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,884.00 / $6,000.00