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Pennsylvania rates for HCPCS 31000

Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.97 / $2,070.00 / $7,629.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$693.76 / $693.76 / $699.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.87 / $155.40 / $233.45
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$260.91 / $260.91 / $260.91
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.04 / $2,594.00 / $5,296.01
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.24 / $225.96 / $332.73
Capital Blue Cross
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$237.36 / $360.03 / $499.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.66 / $183.87 / $329.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.34 / $289.58 / $297.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.84 / $1,030.84 / $1,030.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,326.00 / $8,017.00
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$693.76 / $693.76 / $699.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.87 / $172.53 / $325.44
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$260.91 / $260.91 / $260.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $143.00 / $498.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.93 / $194.63 / $341.57
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.63 / $107.53 / $182.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.15 / $177.22 / $194.56
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
$140.05 / $219.16 / $355.65