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Pennsylvania rates for HCPCS 21010

Arthrotomy, temporomandibular joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,890.45 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $758.58 / $1,737.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $776.25 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,479.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $1,380.38
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $891.25 / $1,445.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $12,022.64 / $12,022.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,691.53 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,000.00 / $2,238.72
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,513.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $1,584.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $794.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $707.95 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,548.13 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,412.54