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West Virginia rates for HCPCS 30540

Repair choanal atresia; intranasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.68 / $706.68 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.68 / $720.41 / $916.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.70 / $831.82 / $906.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.57 / $805.57 / $805.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.63 / $833.63 / $833.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.61 / $1,006.97 / $3,458.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.00 / $778.55 / $1,130.76