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Wisconsin 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
$93.33 / $288.40 / $758.58
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$891.25 / $3,162.28 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $177.83 / $512.86
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$81.28 / $512.86 / $1,023.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $131.83 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$120.23 / $199.53 / $398.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $489.78 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $194.98 / $562.34
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $245.47 / $3,715.35
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $186.21 / $436.52
DeanCare
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$177.83 / $275.42 / $660.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $263.03 / $1,778.28
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$102.33 / $186.21 / $575.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $213.80 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $128.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $213.80 / $549.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $1,288.25 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $309.03 / $1,122.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $331.13 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,548.82 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $162.18 / $501.19