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Pennsylvania rates for HCPCS 21462

Open treatment of mandibular fracture; with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.77 / $3,839.00 / $8,451.00
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
$1,897.02 / $1,897.02 / $1,897.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,680.90 / $11,850.90 / $35,705.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.77 / $4,993.00 / $10,247.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,897.02 / $1,897.02 / $1,897.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.80 / $1,289.31 / $1,996.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00