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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
$295.12 / $380.19 / $524.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $204.17 / $602.56
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$295.12 / $295.12 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $389.05 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $131.83 / $389.05
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $346.74 / $436.52
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $346.74 / $436.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $213.80 / $398.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $123.03 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $251.19 / $457.09