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Pennsylvania rates for HCPCS 67413

Orbitotomy W/O Bone Flap W/Rmvl Foreign Body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.14 / $4,761.00 / $8,451.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.00 / $771.00 / $771.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.14 / $5,342.00 / $9,617.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.00 / $771.00 / $771.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.16 / $933.29 / $933.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,884.00 / $6,000.00