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Pennsylvania rates for HCPCS A6511

Compression burn garment, lower trunk including leg openings (panty), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
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
$59.86 / $62.11 / $62.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.48 / $196.48 / $196.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.48 / $196.48 / $196.48
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.69 / $148.69 / $148.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.69 / $148.69 / $148.69