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Pennsylvania rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.78 / $2,505.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.61 / $597.70 / $969.48
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
$586.14 / $608.26 / $1,040.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.75 / $608.25 / $1,042.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.52 / $709.52 / $914.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.86 / $3,143.86 / $6,194.16
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.46 / $728.46 / $728.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.78 / $2,483.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.61 / $610.12 / $1,594.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.80 / $660.80 / $660.80
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
$482.11 / $619.46 / $1,042.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.23 / $580.70 / $580.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.23 / $580.70 / $617.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,949.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $641.40 / $1,114.31