go back

Pennsylvania rates for HCPCS 44604

Sutr Lg Intestine 1/Mult Perforat W/O Colostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $3,839.00 / $8,113.00
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
$117.55 / $117.55 / $117.55
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,351.35 / $2,351.35 / $2,351.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.30 / $1,005.30 / $1,005.30
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
$117.55 / $117.55 / $117.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.02 / $1,030.53 / $1,030.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00