go back

Pennsylvania rates for HCPCS 54437

Repair Of Traumatic Corporeal Tear(S)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.64 / $665.95 / $1,753.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.58 / $1,079.08 / $1,274.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.11 / $907.53 / $1,411.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.92 / $1,053.22 / $1,060.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,932.26 / $6,932.26 / $6,932.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.21 / $779.33 / $2,467.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $1,693.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.27 / $918.61 / $1,574.67
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.78 / $658.78 / $752.73
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.86 / $660.90 / $752.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.63 / $832.36 / $1,372.29