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Pennsylvania rates for HCPCS 21208

Osteoplasty Facial Bones Augmentation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.55 / $1,496.43 / $2,298.62
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.96 / $1,631.28 / $1,631.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.87 / $1,532.62 / $2,960.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.02 / $2,519.17 / $3,269.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.86 / $1,550.59 / $3,694.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.10 / $961.10 / $4,256.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.61 / $1,538.46 / $3,000.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.82 / $1,564.66 / $1,712.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.57 / $1,942.19 / $3,225.81