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Pennsylvania rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $3,090.30 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,258.93 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $489.78 / $831.76
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $1,380.38 / $2,570.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $2,454.71 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $199.53 / $602.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $245.47 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $645.65 / $3,019.95