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Illinois rates for HCPCS 30903

Control Nasal Hemorrhage Anterior Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.63 / $525.94 / $3,636.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$271.99 / $271.99 / $654.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $169.27 / $372.64
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$113.57 / $297.12 / $403.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.96 / $811.08 / $1,886.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.77 / $237.30 / $428.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.00 / $463.00 / $480.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.45 / $204.25 / $412.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.53 / $332.21 / $617.87
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.04 / $100.00 / $320.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $370.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.00 / $900.00 / $3,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.04 / $304.58 / $610.91