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Pennsylvania rates for HCPCS 40843

Vestibuloplasty Posterior Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.73 / $3,623.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.67 / $1,025.03 / $1,445.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.72 / $1,466.81 / $2,023.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.25 / $1,281.73 / $2,011.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.09 / $1,898.96 / $1,909.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.67 / $1,129.69 / $3,494.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,005.90 / $3,147.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.45 / $1,325.80 / $2,179.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.87 / $881.81 / $1,167.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.87 / $899.62 / $1,248.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.93 / $1,425.64 / $2,329.52