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Microcapillary Tube Sealant

Pennsylvania rates for HCPCS A4652

Microcapillary tube sealant

Rates data updated July 2026.

How much does Microcapillary Tube Sealant cost?

$0.12

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $0.12 for this service. The price depends on where it is billed: about $0.12 from a physician practice, and about $15.49 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.12$0.12 to $0.15
FacilityA hospital or hospital-owned outpatient department$15.49$0.15 to $19.95

How much rates vary

Facilitymedian $15 · 10th to 90th $0 to $25Professionalmedian $0 · 10th to 90th $0 to $0
$0.1$0.5$2.0$10.0$50.0facility $15professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.15
Median
$0.15
Typical High
$0.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.12
Median
$0.12
Typical High
$0.15
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.45
Typical High
$2.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.15
Median
$0.15
Typical High
$0.15
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.12
Median
$0.12
Typical High
$0.15
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where Pennsylvania sits

The same service costs 1.6 times more in Ohio than in Idaho. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $0.12 · 40th of 51
OH $0.19ID $0.12

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.