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Pennsylvania rates for HCPCS 69540

Excision aural polyp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.49 / $2,605.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.25 / $188.66 / $263.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.70 / $258.25 / $378.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.77 / $209.15 / $374.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.83 / $326.17 / $335.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,733.47 / $4,757.58 / $6,384.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $2,679.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.44 / $206.09 / $667.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $154.80 / $577.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.91 / $218.08 / $388.91
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.84 / $127.23 / $205.64
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.67 / $181.89 / $222.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.00 / $2,391.00 / $4,789.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.43 / $241.91 / $395.15