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Pennsylvania rates for HCPCS 29804

Arthroscopy Temporomandibular Joint Surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,068.00 / $8,427.00
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
$671.06 / $671.06 / $671.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,853.46 / $8,808.40 / $14,543.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,761.00 / $10,069.65
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.06 / $671.06 / $671.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.13 / $582.13 / $794.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,368.00