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Pennsylvania rates for HCPCS D9951

Occlusal Adjustment - Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.71 / $39.29 / $4,609.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.21 / $38.94 / $44.68
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $50.90 / $50.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.29 / $39.29 / $4,609.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.21 / $38.94 / $44.68