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Maine rates for HCPCS 30903

Control Nasal Hemorrhage Anterior Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.13 / $342.08 / $381.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.87 / $146.28 / $290.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.15 / $111.96 / $146.24
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$140.80 / $167.95 / $219.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.77 / $206.57 / $516.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.63 / $220.57 / $463.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.13 / $342.08 / $735.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.45 / $140.86 / $376.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.36 / $304.14 / $495.50