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Pennsylvania rates for HCPCS 41017

Xtroral I&D Absc Cst/Hmtma Floor Mouth Submndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.23 / $1,569.00 / $7,175.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.00 / $1,113.00 / $3,848.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.81 / $768.81 / $768.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,785.40 / $7,785.40 / $7,785.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,266.00 / $7,799.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.90 / $344.90 / $344.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.00 / $795.00 / $3,661.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.38 / $334.13 / $453.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.00 / $1,728.00 / $4,300.00