go back

South Carolina rates for HCPCS 30540

Repair Choanal Atresia Intranasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.77 / $8,960.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.38 / $893.77 / $1,170.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,740.35 / $9,528.23 / $16,900.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.74 / $742.00 / $1,304.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $3,711.96 / $4,769.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.09 / $918.14 / $1,903.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.15 / $893.77 / $1,513.72
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.98 / $3,284.20 / $3,851.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.49 / $569.21 / $1,019.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $16,959.00 / $23,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.88 / $935.74 / $1,679.35