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Tennessee rates for HCPCS 30540

Repair choanal atresia; intranasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.41 / $3,329.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.79 / $869.66 / $1,242.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,830.00 / $5,486.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.00 / $855.86 / $1,490.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.61 / $940.09 / $1,433.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,066.02 / $16,547.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,321.68 / $5,518.40 / $6,216.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,728.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.04 / $936.00 / $1,625.82