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Pennsylvania rates for HCPCS 21812

Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $3,066.00 / $7,799.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.85 / $814.85 / $814.85
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$79.45 / $79.45 / $79.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.85 / $814.85 / $814.85
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$79.45 / $79.45 / $79.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.49 / $700.49 / $808.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,330.00 / $2,824.00 / $5,678.00