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Pennsylvania rates for HCPCS 30400

Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,352.41 / $4,534.00 / $8,404.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.45 / $1,253.46 / $1,612.70
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,800.00 / $11,479.00 / $17,952.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.33 / $1,242.53 / $1,242.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.93 / $1,395.13 / $2,282.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.84 / $1,932.58 / $1,955.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,530.54 / $12,075.02 / $66,670.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,831.00 / $8,404.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.28 / $1,352.41 / $4,831.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $924.10 / $3,310.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.32 / $1,453.86 / $2,302.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,016.96 / $1,201.54 / $1,201.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.96 / $1,201.54 / $1,291.20
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
$955.53 / $1,329.36 / $2,344.59