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Pennsylvania rates for HCPCS 21137

Reduction forehead; contouring only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,066.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.45 / $747.83 / $1,039.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.77 / $780.14 / $1,234.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.99 / $849.99 / $849.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.06 / $914.60 / $1,510.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.32 / $1,199.22 / $1,534.36
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
$686.34 / $785.80 / $3,711.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.00 / $780.00 / $1,532.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.99 / $849.99 / $849.99
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.39 / $924.88 / $1,543.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.56 / $733.56 / $733.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.13 / $733.65 / $777.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.24 / $877.99 / $1,423.75