go back

Utah rates for HCPCS 30903

Control Nasal Hemorrhage Anterior Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.20 / $373.57 / $3,825.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$325.63 / $325.63 / $325.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.65 / $193.74 / $361.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.50 / $223.58 / $405.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.26 / $198.34 / $258.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.54 / $242.20 / $352.96
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$279.81 / $363.30 / $529.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.21 / $174.29 / $384.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $4,445.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.18 / $250.40 / $467.28