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Pennsylvania rates for HCPCS 41009

Intraoral I&D Tongue/Floor Masticator Space

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.93 / $1,819.00 / $7,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.43 / $376.64 / $518.11
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.14 / $430.80 / $430.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.00 / $483.77 / $816.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.04 / $430.81 / $730.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.62 / $645.62 / $645.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.31 / $662.92 / $847.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.00 / $2,070.00 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.18 / $432.57 / $1,486.04
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.50 / $330.50 / $330.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $420.00 / $1,123.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.00 / $483.77 / $1,113.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.45 / $432.92 / $730.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.43 / $276.79 / $410.21
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.57 / $346.43 / $440.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $541.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.89 / $455.14 / $805.78