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Pennsylvania rates for HCPCS A6502

Compression Burn Garment Chin Strap Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $127.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
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
$2.79 / $2.90 / $2.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.37 / $111.37 / $111.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $127.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.37 / $111.37 / $111.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.97 / $116.97 / $116.97
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.97 / $116.97 / $116.97