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Pennsylvania rates for HCPCS 21050

Condylectomy Temporomandibular Joint Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.35 / $3,066.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.34 / $869.59 / $1,250.52
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
$857.02 / $915.70 / $1,641.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.65 / $968.65 / $968.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.46 / $1,055.68 / $1,730.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.65 / $1,336.72 / $1,738.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.34 / $906.21 / $4,298.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.50 / $1,034.50 / $1,802.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.65 / $968.65 / $968.65
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.24 / $1,071.50 / $1,764.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.91 / $842.91 / $940.93
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.07 / $842.91 / $940.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.18 / $1,048.29 / $1,761.58