go back

Pennsylvania rates for HCPCS A4649

Surgical supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.72 / $60.14 / $19,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $16.80 / $310.39
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,437.50 / $40,625.00 / $53,125.00
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
$64,999.35 / $64,999.35 / $64,999.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.68 / $176.95 / $869.81
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,905.18 / $40,625.00 / $53,125.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.72 / $346.55 / $19,500.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $36.00 / $310.39
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87