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Wisconsin 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
$154.88 / $501.19 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $234.42 / $724.44
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$56.23 / $288.40 / $691.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $190.55 / $389.05
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$165.96 / $288.40 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $758.58 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $263.03 / $870.96
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $389.05 / $3,715.35
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $257.04 / $676.08
DeanCare
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$239.88 / $380.19 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $363.08 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $380.19 / $1,819.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $234.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $302.00 / $870.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,995.26 / $1,995.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $524.81 / $1,737.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $446.68 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,548.82 / $1,949.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $263.03 / $812.83