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Pennsylvania rates for HCPCS 41005

Intraoral I&D Tongue/Floor Sublngl Supfc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.56 / $199.44 / $296.33
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.03 / $228.34 / $228.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.17 / $217.12 / $395.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.08 / $355.36 / $454.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.82 / $220.65 / $800.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $150.50 / $584.79
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.58 / $219.21 / $403.25
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.73 / $179.79 / $250.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.07 / $243.48 / $411.34