go back

Pennsylvania rates for HCPCS 41850

Destruction Lesion Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,371.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.71 / $123.55 / $146.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.56 / $165.36 / $165.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.00 / $939.95 / $2,109.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.68 / $155.65 / $283.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.44 / $591.44 / $591.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.48 / $381.34 / $611.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,215.63 / $6,215.63 / $6,215.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,326.00 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.08 / $132.99 / $1,426.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $203.00 / $222.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.16 / $932.58 / $2,151.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.61 / $155.65 / $286.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.48 / $150.33 / $150.33
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.48 / $50.48 / $153.34
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
$107.37 / $142.15 / $244.58