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Pennsylvania rates for HCPCS 42281

Insj Pin-Retained Palatal Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.12 / $3,627.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.69 / $196.65 / $273.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.17 / $227.44 / $227.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.00 / $2,019.00 / $8,051.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.25 / $226.69 / $375.05
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.38 / $362.38 / $362.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.62 / $349.06 / $445.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,839.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.59 / $223.17 / $1,010.69
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.90 / $176.90 / $176.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.90 / $209.20 / $603.29
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.70 / $1,657.00 / $7,661.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.88 / $227.44 / $375.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.60 / $156.71 / $218.37
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.43 / $166.64 / $234.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,728.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.19 / $247.27 / $443.82