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Pennsylvania rates for HCPCS G0429

Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $81.28 / $128.82
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $165.96 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $154.88 / $169.82
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $117.49 / $269.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $85.11 / $194.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $72.44 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $93.33 / $154.88