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Pennsylvania rates for HCPCS 69726

Removal Entire Oi Implt Skl Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $2,747.00 / $8,104.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.44 / $416.18 / $522.63
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.59 / $490.11 / $764.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.94 / $579.21 / $884.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.84 / $745.13 / $751.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,789.09 / $7,789.09 / $10,409.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,389.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.44 / $439.26 / $1,544.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $1,064.09
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.54 / $584.11 / $1,001.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.32 / $466.68 / $466.68
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.32 / $466.68 / $495.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.00 / $3,475.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.42 / $526.65 / $848.11