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Pennsylvania rates for HCPCS 49062

Drg Xtraperitoneal Lymphocele Periton Cavity Opn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.58 / $3,839.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.21 / $766.97 / $994.01
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
$771.58 / $800.70 / $1,178.53
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
$657.52 / $927.48 / $1,563.55
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.62 / $1,736.62 / $1,736.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.36 / $1,199.57 / $1,549.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.46 / $821.58 / $2,843.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.00 / $888.00 / $888.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,060.50 / $1,943.60
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
$657.52 / $919.78 / $1,563.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.76 / $752.76 / $802.20
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.67 / $763.53 / $802.20
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
$671.47 / $872.91 / $1,506.23