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Pennsylvania rates for HCPCS 21355

Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $4,265.80 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $426.58 / $891.25
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,000.00 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $457.09 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $446.68 / $776.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $912.01
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $549.54 / $851.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,801.89 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $512.86 / $1,202.26
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $933.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $416.87 / $933.25
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $371.54 / $467.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $416.87 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $4,365.16 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $426.58 / $707.95