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Pennsylvania rates for HCPCS 40819

Exc Frenum Labial/Buccal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.26 / $2,326.00 / $7,175.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.68 / $265.85 / $450.91
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.89 / $276.97 / $490.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.37 / $323.75 / $523.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.95 / $423.29 / $436.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.68 / $4,011.82 / $7,553.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.00 / $2,422.00 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.62 / $291.39 / $728.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $261.60 / $721.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.15 / $324.74 / $535.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.98 / $214.31 / $260.64
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.93 / $220.89 / $279.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.66 / $361.99 / $588.89