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Utah rates for HCPCS 30115

Excision Nasal Polyp Extensive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.57 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.29 / $484.57 / $1,149.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.78 / $647.11 / $864.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.37 / $303.10 / $434.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,788.54 / $9,156.84 / $13,344.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.00 / $735.45 / $874.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.10 / $516.66 / $914.40