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Washington rates for HCPCS 30903

Control Nasal Hemorrhage Anterior Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.72 / $470.07 / $9,703.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$357.95 / $482.58 / $1,958.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $187.42 / $527.49
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$55.99 / $394.06 / $473.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.81 / $375.95 / $11,500.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$389.72 / $543.00 / $1,050.50
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.44 / $465.70 / $1,799.04
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$119.68 / $222.18 / $664.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.20 / $99.20 / $165.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.58 / $248.44 / $743.06
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.13 / $196.35 / $519.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$284.85 / $380.38 / $915.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.34 / $196.35 / $525.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.38 / $388.05 / $634.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.77 / $396.77 / $490.44
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.04 / $334.52 / $337.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.18 / $255.74 / $620.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.74 / $361.80 / $692.47
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$352.11 / $542.70 / $1,038.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.61 / $249.43 / $566.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.54 / $910.00 / $5,793.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.58 / $486.80 / $718.33