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Pennsylvania rates for HCPCS 41899

Unlisted Procedure Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.00 / $3,340.00 / $14,757.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.00 / $1,550.00 / $4,573.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55,249.45 / $64,999.35 / $64,999.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $6,641.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $790.59 / $13,541.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $3,839.00 / $25,675.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.00 / $1,211.00 / $5,958.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $6,641.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.00 / $1,400.00 / $1,400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $541.00 / $3,742.00