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Pennsylvania rates for HCPCS 21243

Arthrp Tmprmand Joint W/Prosthetic Replacement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $4,264.00 / $10,247.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.99 / $1,643.18 / $2,414.46
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
$1,609.44 / $1,670.17 / $3,129.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.47 / $1,877.47 / $1,877.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.34 / $2,015.80 / $3,271.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.17 / $2,493.78 / $3,245.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,498.66 / $36,498.66 / $36,498.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,350.00 / $10,510.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.00 / $1,737.63 / $5,958.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,655.70 / $1,655.70 / $3,438.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.47 / $1,877.47 / $1,877.47
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.97 / $2,041.67 / $3,377.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.60 / $1,634.60 / $1,690.17
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.85 / $1,634.60 / $1,726.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.00 / $3,742.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,468.53 / $1,953.85 / $3,088.25