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Pennsylvania rates for HCPCS 88309

Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil -resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $575.44 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $363.08 / $741.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $295.12 / $724.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $229.09 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.07 / $199.53 / $263.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $426.58 / $741.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $186.21 / $281.84
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $288.40 / $489.78
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.02 / $177.83 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $218.78 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $93.33 / $199.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.62 / $138.04 / $354.81
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $575.44 / $758.58
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $190.55 / $251.19
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $380.19 / $501.19
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $467.74 / $676.08
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $169.82 / $288.40
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $281.84 / $446.68
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $151.36 / $234.42
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $575.44 / $575.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $416.87 / $1,023.29
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $199.53 / $549.54
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $275.42 / $691.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $851.14
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $239.88 / $467.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $138.04 / $144.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.33 / $275.42 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $407.38 / $630.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $147.91 / $239.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $257.04 / $416.87