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Missouri rates for HCPCS 30540

Repair choanal atresia; intranasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $5,144.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.84 / $743.75 / $950.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.92 / $829.00 / $1,313.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.89 / $1,008.95 / $1,780.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.75 / $1,432.12 / $18,642.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.45 / $1,173.35 / $5,518.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.93 / $999.79 / $1,561.55