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Pennsylvania rates for HCPCS 21740

Repair Pectus Excavatum/Carinatum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.91 / $3,830.00 / $8,240.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.23 / $1,036.26 / $1,544.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.41 / $1,058.92 / $1,058.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.19 / $1,164.19 / $1,164.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.34 / $1,282.47 / $2,094.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.80 / $1,645.39 / $2,067.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.91 / $4,597.00 / $8,404.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.23 / $1,153.36 / $4,966.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.90 / $1,456.90 / $2,493.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.19 / $1,164.19 / $1,164.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.34 / $1,301.36 / $2,136.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.86 / $996.86 / $1,112.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.07 / $1,013.20 / $1,112.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.68 / $1,266.19 / $1,987.36