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Pennsylvania rates for HCPCS 31201

Ethmoidectomy; intranasal, total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $4,761.00 / $8,451.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.94 / $813.32 / $1,049.98
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
$674.68 / $1,010.31 / $1,360.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.52 / $952.36 / $1,527.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.58 / $1,217.38 / $1,233.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.30 / $1,953.30 / $1,953.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.00 / $5,342.00 / $9,617.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $840.52 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $773.80 / $2,120.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.22 / $981.19 / $1,640.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.92 / $780.94 / $780.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.92 / $780.94 / $834.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.28 / $913.52 / $1,525.74