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Pennsylvania rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Facilitymedian $2 · 10th–90th $1–$20%20%10th90th$2Professionalmedian $646 · 10th–90th $1–$6760%50%10th90th$646$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.62 / $1.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $2.29 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $0.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $2.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.93