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Pennsylvania rates for HCPCS 21045

Excision Malignant Tumor Mandible Radical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.08 / $3,830.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,355.18 / $1,355.18 / $1,355.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.07 / $1,075.07 / $14,425.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,597.00 / $8,404.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,355.18 / $1,355.18 / $1,355.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.10 / $1,174.15 / $1,174.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00