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Pennsylvania rates for HCPCS D4355

Full M Debrid Enbl Comp Or Eval & Dx Subq Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.80 / $47.80 / $53.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.21 / $50.58 / $68.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.63 / $67.06 / $67.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $73.31 / $73.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.80 / $47.80 / $53.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.69 / $50.58 / $68.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.70 / $72.70 / $72.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $73.31 / $73.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $107.00 / $146.00