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Pennsylvania rates for HCPCS G0168

Wound closure utilizing tissue adhesive(s) only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.96 / $2,747.00 / $8,104.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.46 / $81.59 / $395.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.85 / $98.43 / $98.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.09 / $88.09 / $90.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.99 / $150.41 / $155.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.66 / $3,964.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.46 / $89.77 / $432.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.56 / $102.80 / $110.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.43 / $19.43 / $19.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.09 / $88.09 / $98.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.56 / $23.46 / $118.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.56 / $72.14 / $129.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $674.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.74 / $108.38 / $193.30