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Pennsylvania rates for HCPCS 21230

Graft Rib Crtlg Autogenous Face/Chin/Nose/Ear

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.64 / $3,839.00 / $10,148.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.35 / $845.35 / $845.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,630.66 / $12,495.40 / $37,033.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.17 / $5,252.00 / $11,043.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.35 / $845.35 / $845.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.63 / $732.63 / $884.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00