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Pennsylvania rates for HCPCS 65286

Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.09 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.25 / $661.36 / $956.15
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.46 / $693.68 / $1,256.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.83 / $636.51 / $1,017.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.83 / $817.83 / $1,054.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,045.00 / $3,045.00 / $6,194.16
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.29 / $938.85 / $1,992.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.25 / $682.82 / $2,605.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.00 / $581.00 / $581.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.20 / $641.79 / $1,017.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.56 / $484.78 / $670.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.98 / $648.21 / $718.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $2,391.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.09 / $781.91 / $1,351.43