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Adhesion Barrier

Pennsylvania rates for HCPCS C1765

Adhesion barrier

Rates data updated July 2026.

How much does Adhesion Barrier cost?

$3.47

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3.47 for this service. Most negotiated rates run $3.47 to $380.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $316 · 10th to 90th $3 to $6,457Professionalmedian $3 · 10th to 90th $3 to $575
$10.0$100.0$1.0K$10.0Kfacility $316professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$575.44
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,456.54
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$501.19
Typical High
$524.81
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$7,943.28
Typical High
$16,982.44
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$4.37
Typical High
$1,584.89
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$575.44
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$645.65

Where Pennsylvania sits

The same service costs 223.9 times more in New Hampshire than in Missouri. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $3.47 · 40th of 51
NH $776MO $3.47

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.