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Pennsylvania rates for HCPCS 21031

Excision Torus Mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.70 / $344.01 / $449.90
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.12 / $387.20 / $711.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.10 / $401.43 / $697.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.70 / $594.41 / $771.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.49 / $374.70 / $1,502.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.20 / $312.20 / $846.10
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.25 / $405.82 / $718.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.76 / $286.38 / $398.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.20 / $445.20 / $740.38