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Pennsylvania rates for HCPCS 30901

Control Nasal Hemorrhage Anterior Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.30 / $399.60 / $3,447.91
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$384.94 / $1,092.00 / $7,580.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.85 / $119.48 / $251.95
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$209.00 / $272.67 / $540.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.69 / $86.69 / $86.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.51 / $1,395.00 / $12,759.45
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.35 / $188.57 / $249.80
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$200.02 / $282.85 / $374.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.12 / $116.79 / $248.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.16 / $244.55 / $249.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.84 / $374.45 / $724.38
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$127.60 / $362.60 / $5,159.77
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.93 / $540.44 / $5,342.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$163.08 / $1,092.00 / $3,783.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $135.09 / $276.70
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$129.19 / $272.67 / $348.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $141.69 / $428.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.73 / $120.20 / $248.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.76 / $70.53 / $152.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.76 / $108.45 / $164.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.00 / $577.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.07 / $162.10 / $298.12