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Pennsylvania rates for HCPCS 21235

Graft Ear Crtlg Autogenous Nose/Ear

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.46 / $3,694.00 / $11,022.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.86 / $692.56 / $1,206.18
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
$724.63 / $751.97 / $751.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.16 / $961.16 / $961.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.14 / $758.75 / $1,304.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.98 / $1,155.02 / $1,492.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,968.61 / $13,262.10 / $21,147.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.70 / $5,342.00 / $11,590.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.00 / $758.63 / $2,264.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.00 / $805.00 / $1,570.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.16 / $961.16 / $961.16
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.84 / $767.10 / $1,331.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.38 / $555.48 / $714.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.38 / $675.00 / $764.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.90 / $861.41 / $1,436.76