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Wisconsin rates for HCPCS 31040

Pterygomaxillary Fossa Surgery Any Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.05 / $1,644.97 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $9,096.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,131.15 / $2,490.42 / $4,016.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.21 / $1,154.84 / $2,100.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.32 / $4,103.00 / $8,783.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.21 / $1,154.84 / $2,100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.40 / $2,416.00 / $2,936.73
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,547.20 / $16,547.20 / $16,547.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00