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Pennsylvania rates for HCPCS 21445

Optx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.14 / $732.66 / $1,167.43
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.16 / $778.47 / $778.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.76 / $826.00 / $1,408.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.73 / $1,197.19 / $1,554.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.52 / $800.96 / $2,337.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.60 / $569.60 / $1,715.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.28 / $837.76 / $1,434.62
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.57 / $661.56 / $819.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.95 / $907.35 / $1,433.45