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Pennsylvania rates for HCPCS 30903

Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.44 / $750.84 / $5,342.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$578.39 / $578.39 / $2,578.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.28 / $187.41 / $421.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$112.05 / $403.72 / $473.83
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
$205.80 / $292.99 / $402.81
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$308.70 / $446.17 / $604.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.99 / $198.26 / $390.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.14 / $378.75 / $387.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.86 / $375.22 / $1,132.83
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$274.23 / $403.94 / $2,312.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.72 / $1,173.38 / $5,750.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$578.39 / $578.39 / $2,578.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $206.16 / $470.66
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$112.05 / $403.72 / $563.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $177.00 / $672.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.54 / $220.11 / $390.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.29 / $119.14 / $253.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.29 / $234.80 / $258.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.00 / $557.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.30 / $274.24 / $472.02