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Pennsylvania rates for HCPCS 21025

Excision of bone (eg, for osteomyelitis or bone abscess); mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.67 / $2,747.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.44 / $769.48 / $1,165.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.76 / $826.83 / $826.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.27 / $1,134.27 / $1,134.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.61 / $931.96 / $1,582.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.28 / $1,250.08 / $1,624.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,407.76 / $12,495.40 / $16,066.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,675.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.64 / $836.94 / $2,005.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.10 / $771.10 / $1,880.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.27 / $1,134.27 / $1,134.27
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.02 / $952.45 / $1,637.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.36 / $715.68 / $838.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.70 / $752.18 / $816.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.79 / $988.01 / $1,647.92