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Pennsylvania rates for HCPCS 47715

Excision Choledochal Cyst

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
$1,176.97 / $1,330.19 / $1,720.55
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
$1,329.71 / $1,379.88 / $1,846.74
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
$1,135.63 / $1,620.72 / $2,768.99
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,989.46 / $2,989.46 / $2,989.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.62 / $2,061.76 / $2,667.84
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
$1,147.04 / $1,379.88 / $4,514.37
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.09 / $1,120.09 / $1,120.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,489.50 / $3,365.30
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
$1,141.35 / $1,616.71 / $2,768.99
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.15 / $1,302.03 / $1,302.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.15 / $1,302.03 / $1,372.18
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
$1,145.55 / $1,522.56 / $2,699.82