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New Hampshire rates for HCPCS 30540

Repair Choanal Atresia Intranasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,386.66 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.04 / $616.15 / $2,386.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.14 / $1,338.33 / $1,948.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.48 / $1,584.29 / $2,261.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.33 / $1,629.35 / $2,705.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.91 / $1,224.86 / $2,922.21
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.30 / $674.77 / $1,065.02