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Pennsylvania rates for HCPCS 31653

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.89 / $3,274.49 / $11,930.34
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$127.25 / $127.25 / $748.70
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
$2,761.60 / $8,917.42 / $17,678.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.00 / $3,120.00 / $9,755.53
Martin's Point
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$127.25 / $127.25 / $748.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.26 / $288.44 / $1,250.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.00 / $2,824.00 / $5,678.00