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Wisconsin rates for HCPCS 30400

Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,505.67 / $2,508.30 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.36 / $1,505.67 / $3,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.72 / $3,266.37 / $7,298.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,264.76 / $3,815.13 / $6,153.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.05 / $3,779.50 / $5,158.31
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.28 / $1,505.67 / $2,396.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.76 / $4,103.00 / $8,783.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.32 / $3,163.06 / $8,181.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.42 / $738.99 / $2,508.92
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.28 / $1,505.67 / $2,396.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,393.30 / $3,682.00 / $4,353.22
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,547.20 / $16,547.20 / $16,547.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.88 / $5,764.40 / $9,086.08
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,038.49 / $3,038.49 / $3,038.49
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.44 / $7,376.07 / $7,376.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.39 / $3,181.82 / $5,116.68