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Oklahoma rates for HCPCS 30540

Repair choanal atresia; intranasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.00 / $5,915.00 / $14,100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.65 / $828.82 / $828.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,309.98 / $14,714.99 / $23,429.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.60 / $905.78 / $959.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.36 / $896.53 / $1,063.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.65 / $1,189.10 / $10,198.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.49 / $929.99 / $5,518.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.00 / $5,524.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.27 / $786.92 / $1,201.26