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Pennsylvania rates for HCPCS 21046

Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.98 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.38 / $1,026.67 / $1,584.48
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
$982.01 / $1,019.06 / $1,019.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.83 / $1,107.83 / $1,107.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.99 / $1,258.11 / $2,092.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.11 / $1,526.89 / $1,986.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,419.82 / $8,808.40 / $12,495.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $3,389.00 / $8,427.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.38 / $1,125.85 / $3,062.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.70 / $1,094.70 / $2,314.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.83 / $1,107.83 / $1,107.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.89 / $1,286.69 / $2,113.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.53 / $964.31 / $1,055.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.94 / $964.31 / $1,019.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $6,885.00 / $19,040.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.58 / $1,260.28 / $2,095.86