go back

Pennsylvania rates for HCPCS A4550

Surgical Trays (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.38 / $13.42 / $78.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $12.38 / $20.54
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
$9.44 / $9.80 / $9.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.79 / $27.79 / $27.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.10 / $51.10 / $51.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.23 / $135.49 / $725.26
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.76 / $33.76 / $33.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.38 / $13.42 / $78.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $12.38 / $35.28
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.75 / $1,146.21 / $1,146.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $10.90 / $27.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.79 / $27.79 / $27.79
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.04 / $34.04 / $34.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $13.01 / $25.18