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Utah rates for HCPCS 30901

Control Nasal Hemorrhage Anterior Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.63 / $394.37 / $3,809.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$55.64 / $454.68 / $3,028.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.05 / $121.81 / $254.77
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$65.75 / $65.75 / $65.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.23 / $123.61 / $258.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.16 / $114.56 / $147.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.54 / $242.20 / $352.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.70 / $123.98 / $227.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.88 / $147.24 / $294.49