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Rhode Island rates for HCPCS 30540

Repair Choanal Atresia Intranasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,438.26 / $3,706.14 / $4,026.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.04 / $748.61 / $838.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.46 / $881.72 / $1,339.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $998.58 / $1,456.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,599.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.91 / $992.97 / $1,560.33