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Indiana rates for HCPCS 30901

Control Nasal Hemorrhage Anterior Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.06 / $342.72 / $3,259.87
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$342.72 / $6,822.82 / $6,822.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.79 / $89.61 / $229.30
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$246.84 / $415.61 / $450.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.58 / $149.36 / $195.31
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$106.33 / $106.33 / $224.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.00 / $4,320.00 / $8,230.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $53.95 / $76.92
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$68.78 / $80.92 / $115.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.63 / $68.34 / $113.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.51 / $167.41 / $222.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.95 / $117.66 / $218.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.26 / $134.72 / $242.36