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Pennsylvania rates for HCPCS A6501

Compression burn garment, bodysuit (head to foot), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $6.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
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
$1,368.76 / $1,420.41 / $1,420.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.24 / $31.24 / $31.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $6.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.24 / $31.24 / $31.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.89 / $437.89 / $437.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.89 / $437.89 / $437.89