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Pennsylvania rates for HCPCS 49999

Unlisted procedure, abdomen, peritoneum and omentum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $3,467.37 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $512.86 / $5,128.61
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,606.93 / $7,585.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $575.44 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $4,265.80 / $10,000.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $776.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,691.53 / $7,762.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $724.44 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,778.28 / $3,890.45