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Pennsylvania rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $2,747.00 / $8,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.25 / $1,068.11 / $1,626.73
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
$1,084.06 / $1,124.97 / $1,124.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.95 / $1,224.95 / $1,224.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.30 / $1,281.95 / $2,195.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.83 / $1,727.83 / $2,210.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,495.40 / $12,495.40 / $46,282.92
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,427.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.92 / $1,133.28 / $2,334.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.59 / $1,127.59 / $2,233.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.95 / $1,224.95 / $1,224.95
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.98 / $1,294.83 / $2,202.14
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.23 / $1,064.23 / $1,098.14
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.95 / $1,068.02 / $1,128.04
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
$943.95 / $1,289.33 / $2,213.57