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Pennsylvania rates for HCPCS 68371

Harvesting conjunctival allograft, living donor

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
$385.72 / $412.77 / $555.71
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
$402.07 / $417.24 / $740.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$480.00 / $480.00 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.42 / $423.02 / $725.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.35 / $485.35 / $625.87
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
$394.07 / $491.28 / $2,605.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $748.20 / $1,048.00
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
$335.35 / $429.11 / $725.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.79 / $394.09 / $394.09
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.79 / $394.09 / $418.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.00 / $2,715.00 / $4,815.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.54 / $464.61 / $787.80