go back

Maine rates for HCPCS 30540

Repair Choanal Atresia Intranasal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.15 / $876.02 / $876.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.14 / $984.29 / $1,421.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.14 / $1,052.22 / $1,645.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.33 / $1,057.80 / $1,622.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.15 / $876.02 / $876.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.55 / $996.35 / $1,501.87