go back

Pennsylvania rates for HCPCS D9230

Administration Of Nitrous Oxide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.19 / $17.19 / $17.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.81 / $15.54 / $22.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.98 / $21.77 / $21.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.58 / $26.58 / $26.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.19 / $17.19 / $17.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.81 / $16.30 / $36.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.90 / $31.70 / $31.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.58 / $26.58 / $26.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $44.00 / $75.00