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Pennsylvania rates for HCPCS 46200

Fissurectomy, including sphincterotomy, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.05 / $2,747.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.31 / $396.41 / $758.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $7,567.00 / $11,091.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.05 / $482.60 / $482.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.00 / $1,865.00 / $3,858.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.62 / $450.87 / $805.58
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.34 / $770.34 / $770.34
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.53 / $751.65 / $959.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,361.05 / $6,215.63 / $12,311.04
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.39 / $357.60 / $413.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,675.00 / $8,115.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.38 / $481.81 / $1,175.44
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.30 / $332.30 / $332.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.30 / $424.70 / $1,023.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $1,403.00 / $3,671.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.95 / $454.94 / $804.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.51 / $331.50 / $460.35
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $436.55 / $496.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,715.00 / $4,815.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.51 / $492.83 / $821.25