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Pennsylvania rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,894.00 / $9,617.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.81 / $916.03 / $2,208.81
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $26,582.19
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.65 / $957.24 / $957.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $3,025.00 / $8,073.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.30 / $1,127.56 / $1,830.29
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,081.00 / $2,081.00 / $2,081.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.73 / $1,462.77 / $1,877.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,680.90 / $19,950.39 / $49,257.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,424.00 / $10,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.00 / $1,044.44 / $3,562.01
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.40 / $988.40 / $988.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,210.59 / $2,378.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $2,760.00 / $7,820.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.02 / $1,113.11 / $1,870.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.25 / $905.00 / $905.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.25 / $905.00 / $959.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.00 / $3,879.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.71 / $1,047.34 / $1,855.42