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Pennsylvania rates for HCPCS 41821

Oprculectomy Exc Pricoronal Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,422.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.31 / $55.31 / $65.55
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.44 / $51.10 / $51.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $932.58 / $1,852.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.38 / $70.13 / $133.78
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.14 / $266.14 / $266.14
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.07 / $171.61 / $275.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $2,371.00 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.98 / $59.03 / $1,541.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $100.00 / $109.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.14 / $795.00 / $1,762.33
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.56 / $69.95 / $149.99
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.29 / $344.29 / $344.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.29 / $344.29 / $344.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.00 / $1,728.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.29 / $63.97 / $105.70