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Utah rates for HCPCS 30115

Excision, nasal polyp(s), extensive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $3,715.35 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $562.34 / $954.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $851.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,370.32 / $12,022.64
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$6,760.83 / $7,943.28 / $18,197.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $758.58 / $891.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $831.76 / $1,096.48
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $691.83 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $912.01