go back

Pennsylvania rates for HCPCS 42120

Rescj Palate/Extensive Rescj Lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.69 / $4,534.00 / $10,527.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.00 / $2,656.00 / $8,051.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,236.14 / $2,236.14 / $2,236.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,281.70 / $12,495.40 / $13,154.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.69 / $4,761.00 / $8,404.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.70 / $576.70 / $576.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.00 / $2,109.00 / $7,661.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.10 / $979.28 / $979.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.00 / $2,715.00 / $4,815.00