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Utah rates for HCPCS 30905

Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $3,019.95 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $275.42 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $257.04 / $588.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $588.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $218.78 / $489.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $407.38 / $562.34
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $363.08 / $812.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $457.09 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $229.09 / $489.78