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Pennsylvania rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.20 / $498.14 / $670.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.62 / $504.99 / $896.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.95 / $511.48 / $845.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.24 / $588.24 / $758.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,586.00 / $4,586.00 / $4,586.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.23 / $594.40 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.10 / $515.10 / $895.48
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.74 / $521.85 / $845.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.59 / $477.27 / $477.27
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.59 / $477.27 / $507.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.00 / $4,899.49 / $12,948.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.42 / $519.15 / $881.82