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Pennsylvania rates for HCPCS 21454

Open Tx Mandibular Fx W/External Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,048.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.25 / $497.22 / $726.35
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.73 / $515.47 / $688.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.83 / $559.83 / $559.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.75 / $629.67 / $1,070.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.66 / $769.57 / $1,002.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $4,993.00 / $10,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.65 / $611.64 / $2,723.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.50 / $594.50 / $1,129.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.83 / $559.83 / $559.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.75 / $632.62 / $1,092.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.10 / $476.10 / $614.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.83 / $476.10 / $614.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.90 / $638.34 / $1,026.07