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Surgery in the Space Behind the Upper Jaw

Wisconsin rates for HCPCS 31040

Reaches and operates within the pterygomaxillary fossa, a small deep pocket behind the upper jaw through which important nerves and blood vessels pass on their way toward the base of the skull. The route in may be through the mouth, through the nose, or through a facial incision, depending on what needs to be reached. It is used to remove growths or to control bleeding from the vessels in that space.

Facilitymedian $9,120 · 10th–90th $4,169$16,9820%5%10%10th90th$9,120Professionalmedian $1,820 · 10th–90th $933$3,0200%10%20%10th90th$1,820$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,659.59
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,232.93
Typical High
$17,378.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,511.89
Typical High
$3,981.07
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$4,786.30
Typical High
$8,912.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$5,623.41
Typical High
$8,709.64
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$5,754.40
Typical High
$7,762.47
Quartz
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,819.70
Typical High
$3,019.95
Quartz
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$16,595.87
Typical High
$16,595.87
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,585.78
Typical High
$9,772.37