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Pennsylvania rates for HCPCS 31040

Pterygomaxillary Fossa Surgery Any Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.46 / $3,839.00 / $8,113.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,066.13 / $16,066.13 / $16,066.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.46 / $4,761.00 / $8,247.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.34 / $791.41 / $791.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00