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Pennsylvania rates for HCPCS 21390

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Allplstc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.45 / $4,264.00 / $11,182.00
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
$903.02 / $903.02 / $903.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,154.41 / $16,092.62 / $45,341.38
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,183.64 / $5,350.00 / $12,474.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.02 / $903.02 / $903.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.87 / $783.87 / $859.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00