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Pennsylvania rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.74 / $4,761.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.85 / $972.84 / $1,237.34
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
$973.41 / $1,010.14 / $1,010.14
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
$780.56 / $1,193.81 / $1,903.93
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,223.44 / $2,223.44 / $2,223.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.95 / $1,567.62 / $1,996.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,680.90 / $10,680.90 / $10,680.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,151.00 / $5,350.00 / $9,617.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.73 / $1,055.74 / $5,041.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.40 / $834.40 / $834.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $1,050.30 / $2,597.40
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
$785.75 / $1,192.18 / $1,986.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.24 / $955.17 / $955.17
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.24 / $955.17 / $1,023.16
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
$806.22 / $1,079.45 / $1,875.77