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Pennsylvania rates for HCPCS A6505

Compression burn garment, glove to elbow, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $95.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
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
$50.03 / $51.92 / $51.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $98.27 / $98.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $95.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $98.27 / $98.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.03 / $187.03 / $187.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.03 / $187.03 / $187.03