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Wisconsin rates for HCPCS 30540

Repair Choanal Atresia Intranasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.68 / $1,517.22 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.04 / $910.68 / $2,382.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.83 / $1,934.74 / $4,399.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,970.75 / $2,302.98 / $3,714.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.74 / $2,290.94 / $3,108.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.75 / $1,065.50 / $1,449.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.18 / $5,266.00 / $15,126.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.23 / $2,034.81 / $4,849.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $455.03 / $1,429.60
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.18 / $1,065.50 / $1,449.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.70 / $2,218.00 / $2,638.64
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,547.20 / $16,547.20 / $16,547.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.90 / $3,416.70 / $5,518.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.56 / $1,831.56 / $1,831.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.73 / $4,471.03 / $4,471.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.34 / $2,040.28 / $2,994.74