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Pennsylvania rates for HCPCS 42415

Exc Prtd Tum/Prtd Glnd Lat Dsj&Prsrv Facial Nr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $7,663.04 / $21,126.06
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.00 / $4,138.63 / $8,219.10
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$118.93 / $118.93 / $118.93
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,361.41 / $2,361.41 / $2,361.41
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,868.95 / $14,201.27 / $30,507.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.67 / $7,220.00 / $15,958.47
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,365.40 / $1,365.40 / $1,365.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $3,260.00 / $7,820.94
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$118.93 / $118.93 / $118.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.19 / $1,040.19 / $1,223.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $3,879.00 / $7,000.00