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Pennsylvania rates for HCPCS 64868

Anastomosis Facial Hypoglossal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.41 / $2,747.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.91 / $988.56 / $1,533.18
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
$984.95 / $1,022.12 / $1,022.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.78 / $1,123.78 / $1,123.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.20 / $1,254.42 / $2,001.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.09 / $1,545.78 / $1,993.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,010.41 / $4,761.00 / $8,427.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.94 / $1,129.33 / $5,251.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.09 / $1,123.09 / $2,120.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.78 / $1,123.78 / $1,123.78
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.20 / $1,268.51 / $2,005.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.30 / $976.30 / $1,092.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.19 / $978.31 / $1,092.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.00 / $2,391.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.61 / $1,241.20 / $1,940.53