go back

Washington rates for HCPCS 31040

Pterygomaxillary Fossa Surgery Any Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.67 / $2,154.71 / $20,680.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.71 / $16,547.20 / $31,745.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,147.74 / $4,147.74 / $6,910.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.82 / $1,640.03 / $6,447.65
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.94 / $1,461.94 / $1,631.45
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.71 / $1,112.80 / $2,513.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,761.59 / $16,586.25 / $31,745.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $2,431.00 / $11,261.00