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Pennsylvania rates for HCPCS 30915

Ligation arteries; ethmoidal

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
$501.98 / $613.72 / $799.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.16 / $616.58 / $616.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.29 / $740.71 / $1,191.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.47 / $941.12 / $950.79
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
$533.00 / $653.16 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $663.20 / $1,582.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.46 / $757.35 / $1,230.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.90 / $593.55 / $593.55
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.90 / $593.55 / $631.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,332.00 / $4,476.00 / $10,130.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.91 / $672.05 / $1,199.52