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Pennsylvania rates for HCPCS 42408

Exc Sublingual Salivary Cyst Ranula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.52 / $3,627.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.33 / $415.00 / $663.00
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
$527.49 / $547.39 / $547.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.00 / $1,978.20 / $3,928.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.87 / $499.62 / $847.12
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.29 / $784.29 / $784.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.59 / $840.70 / $1,074.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,342.27 / $6,342.27 / $6,342.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.70 / $535.05 / $1,864.26
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.50 / $409.50 / $409.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $492.60 / $1,464.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.00 / $1,657.00 / $3,738.29
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.11 / $499.18 / $847.12
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.24 / $412.20 / $528.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.90 / $412.20 / $568.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.00 / $2,715.00 / $4,815.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.54 / $579.03 / $1,020.83