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Michigan rates for HCPCS 30540

Repair choanal atresia; intranasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.84 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.09 / $939.84 / $975.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,088.07 / $4,772.00 / $6,500.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.28 / $1,049.29 / $1,739.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.33 / $813.03 / $1,531.53
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.58 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.58 / $805.71 / $1,177.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $548.20 / $875.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.93 / $876.54 / $1,190.90