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Pennsylvania rates for HCPCS 21208

Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,513.56 / $2,754.23
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,122.02 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,513.56 / $3,019.95
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,754.23 / $3,388.44
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,862.09 / $2,754.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,698.24 / $4,168.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,511.89 / $4,168.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,412.54 / $2,691.53