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Pennsylvania rates for HCPCS 45805

Closure of rectovesical fistula; with colostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $3,839.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.38 / $1,467.99 / $1,894.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.10 / $1,519.35 / $1,519.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.69 / $1,758.36 / $3,039.37
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.40 / $3,294.40 / $3,294.40
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.85 / $2,274.73 / $2,939.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.78 / $1,544.00 / $4,992.27
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.00 / $1,219.00 / $1,219.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,650.40 / $3,723.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.69 / $1,754.24 / $3,039.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,259.68 / $1,434.62 / $1,434.62
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.68 / $1,434.62 / $1,513.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.00 / $1,661.90 / $2,825.20