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Pennsylvania rates for HCPCS 90785

Interactive complexity (List separately in addition to the code for primary procedure)

Facilitymedian $44 · 10th–90th $12–$490%20%10th90th$44Professionalmedian $13 · 10th–90th $9–$210%10%10th90th$13$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $43.65 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $21.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.72 / $13.49
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $12.59 / $15.14
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $17.78 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $11.75 / $21.38
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.45 / $23.44
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $14.45 / $25.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $380.19
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.02 / $15.85
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $12.59 / $15.14
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $37.15
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $14.13 / $24.55
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $12.30 / $17.38
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $11.75 / $17.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $25.12 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $14.13 / $24.55