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Pennsylvania rates for HCPCS 21031

Excision of torus mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $363.08 / $758.58
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $389.05 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $398.11 / $707.95
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $630.96 / $794.33
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $724.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $436.52 / $1,071.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $446.68 / $851.14
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $371.54 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $389.05 / $645.65