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Pennsylvania rates for HCPCS 41822

Exc Fibrous Tuberosities Dentoalveolar Struxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.05 / $2,240.00 / $7,629.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.61 / $260.92 / $436.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $4,396.00 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.45 / $358.49 / $358.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.92 / $526.00 / $2,109.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.51 / $319.02 / $554.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.43 / $460.43 / $460.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.87 / $561.69 / $712.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $2,371.00 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.97 / $327.87 / $1,208.84
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.10 / $245.10 / $245.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $314.70 / $953.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.74 / $500.00 / $2,151.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.31 / $319.02 / $555.41
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.05 / $195.72 / $343.68
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.56 / $251.13 / $371.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,728.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.75 / $368.30 / $613.58