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Pennsylvania rates for HCPCS 31030

Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.71 / $3,623.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.38 / $612.90 / $829.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,800.00 / $11,479.00 / $17,952.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.13 / $828.50 / $1,261.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.48 / $729.44 / $1,182.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.48 / $1,006.17 / $1,031.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,495.40 / $12,495.40 / $15,291.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $3,745.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.12 / $657.13 / $2,053.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $546.79 / $1,699.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.11 / $750.29 / $1,247.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.07 / $499.61 / $620.07
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.27 / $560.07 / $664.83
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
$542.66 / $734.21 / $1,277.83