go back

Pennsylvania rates for HCPCS 65426

Excision or transposition of pterygium; with graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.29 / $4,262.00 / $9,534.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$384.05 / $384.05 / $552.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.75 / $570.89 / $1,035.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.44 / $486.34 / $796.42
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.48 / $667.77 / $1,162.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.00 / $771.00 / $771.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.44 / $594.02 / $935.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.85 / $789.85 / $1,018.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,107.59 / $4,818.31 / $5,696.33
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.79 / $576.29 / $914.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $4,993.00 / $10,247.00
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$384.05 / $384.05 / $552.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.35 / $626.07 / $1,562.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.10 / $593.10 / $1,347.53
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.00 / $771.00 / $771.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.56 / $596.40 / $906.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.41 / $457.87 / $642.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.56 / $560.94 / $689.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,884.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.74 / $738.17 / $1,268.23