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Pennsylvania rates for HCPCS L8613

Ossicula Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.95 / $1,086.11 / $1,458.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.22 / $172.76 / $218.67
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
$279.79 / $367.44 / $367.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.27 / $274.27 / $402.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.13 / $233.13 / $352.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.11 / $402.29 / $764.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.47 / $464.41 / $1,599.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.95 / $808.40 / $1,458.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.83 / $173.75 / $253.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.39 / $548.70 / $792.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.27 / $274.27 / $402.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.13 / $233.13 / $475.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.10 / $254.10 / $349.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.10 / $349.74 / $382.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.68 / $203.46 / $321.05