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Nebraska rates for HCPCS 30540

Repair Choanal Atresia Intranasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $10,506.16 / $21,899.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.96 / $692.96 / $3,760.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,193.47 / $8,393.75 / $15,757.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.15 / $1,128.00 / $1,507.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.03 / $1,713.74 / $2,114.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.53 / $1,297.84 / $8,816.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.50 / $1,585.64 / $5,518.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.03 / $1,713.74 / $5,383.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.08 / $1,585.64 / $2,073.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $841.60 / $1,967.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.50 / $1,565.73 / $1,859.19