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Pennsylvania rates for HCPCS C1765

Adhesion barrier

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $6.92 / $1,211.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $3.46 / $398.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $967.00 / $967.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $217.98 / $217.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.20 / $495.52 / $780.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $398.57 / $1,577.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $3.46 / $398.57
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $217.98 / $217.98