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Wisconsin rates for HCPCS 31200

Ethmoidectomy Intranasal Anterior

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.93 / $1,298.52 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $9,948.00 / $15,579.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.92 / $1,992.33 / $3,213.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.83 / $800.70 / $1,240.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.54 / $5,266.00 / $15,126.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.83 / $800.70 / $1,240.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.80 / $1,872.00 / $2,270.23
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
$7,301.00 / $11,608.00 / $13,980.00