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Pennsylvania rates for HCPCS C1821

Interspinous process distraction device (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,041.74 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,348.96 / $15,848.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $23,988.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $2,137.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60