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Pennsylvania rates for HCPCS 42310

Drg Absc Submaxillary/Sublingual Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.80 / $1,819.00 / $7,197.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.18 / $159.61 / $208.26
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.40 / $173.71 / $173.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $446.00 / $816.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.38 / $189.09 / $311.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.00 / $304.00 / $304.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.70 / $265.60 / $339.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.00 / $2,070.00 / $7,799.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.24 / $179.59 / $833.80
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.19 / $162.19 / $162.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $191.10 / $457.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.65 / $432.61 / $1,113.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.49 / $189.22 / $331.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.74 / $131.85 / $166.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.09 / $141.06 / $179.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $541.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.86 / $191.99 / $329.65