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Pennsylvania rates for HCPCS 21470

Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.40 / $4,048.00 / $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
$1,315.01 / $1,315.01 / $1,315.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,908.00 / $10,916.44 / $13,937.21
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.40 / $5,182.56 / $10,247.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,315.01 / $1,315.01 / $1,315.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.63 / $1,132.63 / $1,329.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,879.00 / $7,508.00