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Pennsylvania rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.00 / $2,070.00 / $7,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.72 / $336.37 / $446.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.60 / $413.64 / $689.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.47 / $416.47 / $416.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.92 / $380.70 / $685.32
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.58 / $635.67 / $824.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.34 / $365.94 / $1,334.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.10 / $346.10 / $840.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.47 / $416.47 / $416.47
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.66 / $392.62 / $689.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.35 / $235.77 / $363.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.15 / $306.62 / $389.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.87 / $452.88 / $725.25