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Pennsylvania rates for HCPCS 30540

Repair choanal atresia; intranasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $4,761.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.85 / $753.86 / $975.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $11,851.00 / $28,970.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.72 / $752.07 / $752.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.97 / $899.84 / $1,442.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.33 / $1,154.69 / $1,171.56
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,151.42 / $34,151.42 / $34,151.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $5,342.00 / $9,617.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.11 / $776.80 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $693.80 / $1,967.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.94 / $903.01 / $1,519.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.09 / $726.43 / $726.43
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.09 / $726.43 / $776.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $3,914.00 / $7,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.46 / $850.25 / $1,388.65