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Utah rates for HCPCS 30540

Repair Choanal Atresia Intranasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.76 / $4,265.53 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.76 / $769.76 / $1,821.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.13 / $1,025.79 / $1,574.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $460.40 / $678.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.00 / $1,175.52 / $1,444.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.92 / $784.81 / $1,457.27