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Pennsylvania rates for HCPCS A4461

Surgical Dressing Holder Non-Reusable Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $3.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.83 / $3.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $4.61 / $4.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $5.40 / $5.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $1.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.24 / $6.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $3.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.83 / $4.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $6.00 / $9.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $5.40 / $5.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $1.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.28 / $4.38 / $4.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $4.38 / $4.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.29 / $4.13