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Pennsylvania rates for HCPCS 67880

Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.54 / $2,747.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.74 / $438.56 / $638.45
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.65 / $469.73 / $818.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.00 / $549.00 / $549.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.05 / $442.85 / $708.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.03 / $554.03 / $714.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.50 / $1,872.50 / $1,872.50
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.32 / $531.32 / $566.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $3,838.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.26 / $456.19 / $1,820.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.90 / $541.90 / $541.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.00 / $549.00 / $549.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.13 / $442.85 / $696.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.95 / $352.51 / $587.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.59 / $442.22 / $587.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.00 / $2,884.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.68 / $521.79 / $849.71