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Pennsylvania rates for HCPCS 21040

Excision Benign Tumor/Cyst Mandible Encl & Curt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.38 / $435.38 / $634.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,150.00 / $7,463.00 / $11,091.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.87 / $475.15 / $475.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.32 / $614.32 / $614.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.35 / $528.32 / $899.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.15 / $723.39 / $939.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,850.20 / $7,640.64 / $10,520.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,388.64 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.32 / $487.45 / $1,544.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.10 / $236.10 / $1,122.09
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.32 / $614.32 / $614.32
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.25 / $532.64 / $943.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.06 / $375.25 / $460.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.78 / $443.45 / $482.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.00 / $2,715.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.28 / $564.72 / $919.60