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Pennsylvania rates for HCPCS 21249

Rcnstj Mandible/Maxl Endosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.31 / $1,271.83 / $1,934.58
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.31 / $1,380.51 / $1,380.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.20 / $1,567.55 / $2,672.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.44 / $2,067.30 / $2,693.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.52 / $1,426.00 / $5,428.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.20 / $1,442.20 / $3,159.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.00 / $1,591.46 / $2,735.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.43 / $1,266.55 / $1,370.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.17 / $1,670.02 / $2,712.27