go back

Montana rates for HCPCS 30903

Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.00 / $382.50 / $522.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $187.41 / $993.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$297.12 / $297.12 / $297.12
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
$120.93 / $120.93 / $384.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.93 / $120.93 / $120.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.93 / $132.69 / $384.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.84 / $322.39 / $363.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.56 / $234.50 / $401.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.30 / $291.30 / $291.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.68 / $376.42 / $688.20