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Pennsylvania rates for HCPCS 45905

Dilation of anal sphincter (separate procedure) under anesthesia other than local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $2,691.53 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $794.33 / $1,737.80
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,818.38 / $4,365.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $2,344.23 / $7,762.47
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $190.55 / $346.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $309.03 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,905.46 / $4,265.80