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Pennsylvania rates for HCPCS 44005

Enterolysis (freeing of intestinal adhesion) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.74 / $5,254.00 / $10,527.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$121.95 / $121.95 / $121.95
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.65 / $2,444.65 / $2,444.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $5,526.00 / $11,083.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.70 / $984.70 / $984.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$121.95 / $121.95 / $121.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,066.74 / $1,066.74 / $1,066.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00