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Montana rates for HCPCS 30901

Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.24 / $139.50 / $316.94
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$362.37 / $362.37 / $362.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.28 / $89.15 / $379.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$568.50 / $568.50 / $568.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.86 / $88.86 / $247.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.86 / $88.86 / $88.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.86 / $94.87 / $247.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $174.85 / $177.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.53 / $149.99 / $256.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.04 / $237.23 / $377.53