go back

Pennsylvania rates for HCPCS A6503

Compression burn garment, facial hood, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $63.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
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
$13.22 / $13.72 / $13.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $63.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.64 / $166.64 / $166.64
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $166.64 / $166.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $63.00 / $68.00