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Pennsylvania rates for HCPCS A6513

Compression Burn Mask Face And/Or Neck Plastic Or Equal Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $29.74 / $37.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $29.74 / $37.17
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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.98 / $872.98 / $872.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $29.74 / $37.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $29.74 / $37.17
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.98 / $872.98 / $872.98