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Pennsylvania rates for HCPCS 42210

Palatop Clsr Alveolar Ridge Grf Alveolar Ridge

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $4,264.00 / $9,478.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.30 / $1,079.21 / $1,737.80
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
$1,072.01 / $1,112.46 / $1,496.82
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
$905.93 / $1,340.31 / $2,161.76
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,414.73 / $2,414.73 / $2,414.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.42 / $1,695.01 / $2,179.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,420.55 / $6,420.55 / $44,238.12
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
$986.30 / $1,176.18 / $3,678.61
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.09 / $1,104.09 / $1,104.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,402.80 / $2,756.60
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
$905.93 / $1,321.46 / $2,173.05
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.28 / $1,051.29 / $1,051.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.07 / $1,051.29 / $1,113.76
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
$942.08 / $1,254.05 / $2,100.77