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Maryland rates for HCPCS 30540

Repair Choanal Atresia Intranasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,575.02 / $1,575.02 / $3,814.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.77 / $916.66 / $2,192.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $808.16 / $952.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,076.35 / $3,076.35 / $3,076.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.97 / $929.83 / $1,937.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.14 / $989.61 / $1,694.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.66 / $887.20 / $1,833.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.37 / $882.21 / $1,089.45