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Pennsylvania rates for HCPCS 21244

Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $4,250.00 / $10,600.00
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
$1,128.18 / $1,128.18 / $1,128.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,968.61 / $6,968.61 / $21,020.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $5,511.00 / $11,590.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.18 / $1,128.18 / $1,128.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.53 / $983.53 / $1,099.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00