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Wisconsin rates for HCPCS 30115

Excision, nasal polyp(s), extensive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $3,090.30 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $549.54 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,570.88 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $912.01 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,479.11 / $1,698.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $2,884.03 / $5,370.32
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $5,495.41 / $8,317.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $741.31 / $3,467.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $575.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,096.48 / $1,659.59
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $7,943.28 / $7,943.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $2,137.96 / $3,388.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $2,570.40 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $676.08 / $1,862.09