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Pennsylvania rates for HCPCS 21461

Open Tx Mandibular Fx W/O Interdental Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.25 / $3,839.00 / $9,534.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.12 / $1,703.12 / $1,703.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.25 / $4,761.00 / $9,534.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,703.12 / $1,703.12 / $1,703.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.44 / $1,209.33 / $1,861.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00