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Pennsylvania rates for HCPCS 49605

Rpr Lg Omphalocele/Gastroschisis W/Wo Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,416.00 / $4,831.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,302.67 / $4,902.66 / $7,070.20
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
$4,898.93 / $5,083.79 / $5,083.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $5,597.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,194.27 / $6,009.07 / $10,291.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,958.60 / $10,958.60 / $10,958.60
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,904.69 / $7,511.28 / $9,787.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.00 / $5,084.27 / $8,348.51
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,706.40 / $1,706.40 / $1,706.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.40 / $1,979.50 / $10,353.79
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $5,597.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,208.93 / $5,944.49 / $10,291.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,232.80 / $4,799.79 / $4,799.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,232.80 / $4,799.79 / $5,036.80
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
$4,157.14 / $5,617.50 / $9,562.44