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Pennsylvania rates for HCPCS 40845

Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.39 / $4,993.00 / $8,427.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.53 / $1,385.86 / $1,880.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.31 / $1,518.53 / $1,518.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.67 / $1,688.68 / $2,705.32
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,742.43 / $2,310.98 / $2,331.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,495.40 / $12,495.40 / $12,495.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.39 / $4,993.00 / $9,617.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.38 / $1,475.95 / $4,692.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $1,551.80 / $3,855.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.04 / $1,720.23 / $2,825.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.88 / $1,183.79 / $1,447.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.88 / $1,246.45 / $1,536.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.44 / $1,854.21 / $2,914.85