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Pennsylvania rates for HCPCS 21407

Open Tx Fx Orbit Except Blowout W/Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,050.00 / $9,534.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.89 / $644.27 / $947.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.69 / $672.13 / $1,169.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.70 / $731.70 / $731.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.86 / $794.34 / $1,284.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.95 / $1,018.76 / $1,316.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $5,350.00 / $10,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.89 / $673.19 / $3,175.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.30 / $754.30 / $1,364.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.70 / $731.70 / $731.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.41 / $802.03 / $1,345.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.91 / $630.91 / $637.45
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.16 / $630.91 / $667.99
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
$597.29 / $807.99 / $1,293.75