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Pennsylvania rates for HCPCS 48020

Removal of pancreatic calculus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.18 / $3,839.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.89 / $1,179.18 / $1,526.35
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
$1,180.86 / $1,225.43 / $1,225.43
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
$1,003.66 / $1,430.81 / $2,450.59
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,655.18 / $2,655.18 / $2,655.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.76 / $1,831.54 / $2,369.55
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
$1,019.02 / $1,246.66 / $4,001.89
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.10 / $1,000.10 / $1,000.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,267.00 / $2,983.30
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
$1,005.86 / $1,425.37 / $2,450.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.16 / $1,155.03 / $1,155.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.16 / $1,155.03 / $1,217.34
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
$992.61 / $1,346.63 / $2,291.51