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Pennsylvania rates for HCPCS 21452

Percutaneous Tx Mandibular Fx W/External Fixj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.49 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.68 / $625.73 / $873.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.76 / $713.71 / $713.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.83 / $724.83 / $724.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.90 / $666.19 / $1,173.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.39 / $1,120.61 / $1,451.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,470.13 / $2,470.13 / $2,470.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,077.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.71 / $678.16 / $2,296.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.60 / $416.10 / $1,646.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.83 / $724.83 / $724.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.40 / $677.66 / $1,203.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.60 / $446.91 / $715.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.18 / $556.44 / $780.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.85 / $788.92 / $1,373.07