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Pennsylvania rates for HCPCS 21246

Rcnstj Mndbl/Maxl Subpriosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.00 / $4,250.00 / $10,398.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.85 / $848.93 / $1,236.03
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
$845.29 / $877.18 / $877.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.80 / $953.80 / $953.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.65 / $1,036.68 / $1,692.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.66 / $1,308.80 / $1,704.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,293.81 / $22,293.81 / $22,293.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $5,350.00 / $11,083.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.85 / $889.92 / $4,570.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.20 / $1,124.20 / $1,730.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.80 / $953.80 / $953.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.42 / $1,051.27 / $1,701.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.64 / $829.64 / $931.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.41 / $829.64 / $931.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.78 / $1,026.78 / $1,604.70