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Pennsylvania rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.12 / $1.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $651.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.99 / $1.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $651.95
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.95