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Arizona rates for HCPCS 30540

Repair choanal atresia; intranasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.41 / $813.64 / $3,760.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,532.98 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.58 / $607.44 / $759.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,374.52 / $5,374.52 / $5,374.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.16 / $834.04 / $1,499.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.64 / $981.97 / $7,168.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.88 / $789.35 / $5,518.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.91 / $754.30 / $1,504.73