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Pennsylvania rates for HCPCS 30115

Excision, nasal polyp(s), extensive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.95 / $452.51 / $763.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.00 / $4,354.00 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.55 / $586.72 / $792.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.95 / $564.63 / $884.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.07 / $729.68 / $743.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,498.05 / $7,498.05 / $7,949.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.66 / $488.51 / $1,518.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $407.40 / $1,252.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.77 / $570.66 / $957.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.61 / $458.44 / $458.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.61 / $458.44 / $491.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.85 / $548.76 / $910.54