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Montana rates for HCPCS 31000

Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $190.55 / $426.58
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$263.03 / $263.03 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $177.83 / $302.00
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $302.00 / $346.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $302.00 / $346.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $181.97 / $302.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $177.83 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $407.38