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Pennsylvania rates for HCPCS G0517

Removal of nonbiodegradable drug delivery implants, four or more (services for subdermal implants)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.75 / $2,240.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.35 / $137.94 / $252.75
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
$190.55 / $349.44 / $475.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.49 / $173.49 / $173.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.83 / $298.04 / $298.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,371.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $198.71 / $641.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.50 / $588.50 / $588.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.49 / $173.49 / $173.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.41 / $135.59 / $276.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.32 / $209.60 / $227.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $577.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.52 / $290.93 / $498.34