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Pennsylvania rates for HCPCS 65205

Removal Fb Eye Conjunctival Superficial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.29 / $379.99 / $6,012.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $44.89 / $133.82
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$333.00 / $333.00 / $333.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.31 / $32.31 / $32.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.24 / $41.76 / $101.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$42.36 / $61.29 / $152.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.64 / $44.93 / $75.17
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $42.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.94 / $192.41 / $577.77
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $34.64 / $48.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.33 / $750.84 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.57 / $44.05 / $155.08
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$333.00 / $333.00 / $333.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.60 / $212.60 / $212.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.32 / $43.07 / $73.53
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.27 / $28.82 / $59.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.24 / $28.82 / $48.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $674.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.13 / $46.96 / $71.26