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Pennsylvania rates for HCPCS 65400

Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,691.53 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,148.15 / $1,148.15 / $2,137.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $4,466.84 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $691.83 / $1,230.27
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,000.00 / $1,047.13 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $676.08 / $1,122.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,174.90
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $1,174.90
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,659.59 / $10,232.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $724.44 / $870.96
Highmark BCBS
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$588.84 / $588.84 / $588.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $2,344.23 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $1,659.59
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,148.15 / $1,148.15 / $2,137.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $630.96 / $1,348.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $478.63 / $660.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $562.34 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $2,570.40 / $4,265.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $1,174.90