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Pennsylvania rates for HCPCS 67875

Temporary Closure Eyelids Suture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.00 / $2,504.13 / $6,012.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $138.75 / $240.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.10 / $47.10 / $217.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.42 / $179.96 / $306.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.00 / $358.00 / $358.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $153.82 / $250.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.00 / $215.00 / $277.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $992.68 / $1,675.65
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,685.20 / $1,685.20 / $1,685.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.48 / $108.65 / $1,612.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,380.79 / $7,197.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.10 / $157.25 / $603.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.10 / $372.10 / $372.10
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
$86.14 / $148.69 / $236.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.48 / $126.33 / $454.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.17 / $172.84 / $454.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $2,391.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.09 / $203.23 / $357.02