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Pennsylvania rates for HCPCS 40820

Dstrj Les/Scar Vestibule Mouth Physical Meths

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.92 / $2,240.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.59 / $243.77 / $429.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.00 / $4,354.00 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.86 / $255.13 / $255.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.40 / $268.62 / $448.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.06 / $397.75 / $411.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,724.80 / $4,763.71 / $7,785.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,371.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.09 / $268.44 / $689.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $154.50 / $719.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.06 / $269.45 / $471.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.28 / $160.37 / $249.21
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.88 / $191.76 / $270.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.15 / $310.98 / $516.91