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Pennsylvania rates for HCPCS 42450

Excision of sublingual gland

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $3,715.35 / $8,511.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $831.76 / $7,585.78
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $21,379.62 / $32,359.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,691.53 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $1,000.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $354.81 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,951.21 / $16,982.44