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Pennsylvania rates for HCPCS 21395

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Bone Grf

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
$908.38 / $1,001.72 / $1,466.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.17 / $1,041.03 / $1,847.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.13 / $1,135.13 / $1,135.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.91 / $1,203.16 / $1,992.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.88 / $1,594.78 / $2,039.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,426.00 / $5,511.00 / $11,083.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.38 / $1,052.04 / $5,331.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.40 / $1,055.40 / $2,055.69
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.13 / $1,135.13 / $1,135.13
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.69 / $1,230.30 / $2,031.98
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.11 / $985.46 / $985.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.11 / $985.46 / $1,042.26
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
$899.73 / $1,181.50 / $1,994.87