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Montana rates for HCPCS 30540

Repair Choanal Atresia Intranasal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.54 / $3,760.70 / $3,760.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.69 / $1,175.69 / $1,175.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.41 / $1,175.69 / $1,175.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.29 / $1,175.69 / $1,256.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.08 / $1,081.73 / $1,560.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.27 / $1,194.15 / $2,075.69