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Pennsylvania rates for HCPCS 49215

Excision of presacral or sacrococcygeal tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $3,818.72 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.44 / $2,203.37 / $3,818.72
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
$2,204.26 / $2,287.44 / $2,287.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,524.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.13 / $2,703.33 / $4,633.59
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,921.46 / $4,921.46 / $4,921.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,631.44 / $3,405.83 / $4,436.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,250.05 / $13,250.05 / $17,450.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,761.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,907.34 / $2,363.67 / $6,955.62
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,586.70 / $1,586.70 / $1,586.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $1,934.20 / $5,543.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,524.85
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.59 / $2,702.49 / $4,633.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,890.18 / $2,146.64 / $2,146.64
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,890.18 / $2,146.64 / $2,254.27
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
$1,882.74 / $2,508.34 / $4,256.72