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Pennsylvania rates for HCPCS 21248

Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.23 / $934.98 / $1,370.34
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.11 / $1,012.95 / $1,012.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.93 / $1,126.55 / $1,965.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.28 / $1,525.36 / $1,985.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.30 / $1,030.07 / $3,872.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.50 / $996.50 / $2,329.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.18 / $1,145.42 / $2,016.56
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.00 / $933.68 / $1,012.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.09 / $1,226.88 / $2,047.99