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Pennsylvania rates for HCPCS 66987

Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx W/Ecp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$911.38 / $5,079.00 / $9,534.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.74 / $817.03 / $1,124.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,522.54 / $11,730.00 / $17,952.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $678.00 / $678.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.55 / $878.88 / $1,412.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.56 / $1,084.56 / $1,398.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.00 / $5,403.00 / $9,830.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.74 / $875.93 / $3,104.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $1,542.43 / $2,038.02
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $678.00 / $678.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.88 / $878.88 / $1,388.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.59 / $832.59 / $883.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.59 / $848.62 / $883.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,228.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.44 / $923.80 / $1,504.33