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Pennsylvania rates for HCPCS 22318

Optx&/Rdctj Odntd Fx&/Dislc Ant Fixj W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.00 / $4,680.00 / $9,676.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,891.02 / $1,891.02 / $1,891.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,079.00 / $10,527.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,891.02 / $1,891.02 / $1,891.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.63 / $1,619.63 / $1,619.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,468.00 / $4,563.00 / $9,631.00