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Pennsylvania rates for HCPCS 40842

Vestibuloplasty; posterior, unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.10 / $796.65 / $1,172.79
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.07 / $1,112.44 / $1,500.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.08 / $966.11 / $1,565.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.52 / $1,296.61 / $1,315.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.80 / $902.59 / $2,964.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $721.50 / $2,456.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.23 / $980.51 / $1,628.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.61 / $701.94 / $970.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.52 / $1,135.15 / $1,817.60