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Pennsylvania rates for HCPCS 66989

Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.78 / $5,079.00 / $9,534.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$621.16 / $686.09 / $686.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.10 / $903.97 / $1,356.62
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$119.17 / $128.06 / $161.19
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.03 / $867.58 / $1,316.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.00 / $678.00 / $678.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.40 / $973.62 / $1,597.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.78 / $999.78 / $1,289.24
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.60 / $970.60 / $1,026.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.00 / $5,350.00 / $9,830.00
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$686.09 / $686.09 / $686.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.44 / $969.66 / $2,020.00
Martin's Point
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$119.17 / $128.06 / $173.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.94 / $1,263.15 / $2,151.60
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
$673.73 / $973.62 / $1,663.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.29 / $820.29 / $911.04
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.92 / $820.29 / $911.04
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
$803.90 / $995.10 / $1,708.41