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Massachusetts rates for HCPCS 30540

Repair Choanal Atresia Intranasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.76 / $6,107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.04 / $720.41 / $1,732.39
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,716.82 / $5,097.00 / $16,742.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.63 / $1,390.34 / $5,321.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.02 / $1,453.02 / $1,453.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.48 / $1,605.14 / $2,910.16
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.08 / $1,615.60 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.24 / $1,073.11 / $1,801.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.49 / $1,811.89 / $2,414.77
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,280.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.78 / $1,560.33 / $5,321.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.38 / $1,130.92 / $2,310.90