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Indiana rates for HCPCS 31201

Ethmoidectomy; intranasal, total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.07 / $2,318.00 / $16,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.53 / $789.07 / $976.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,278.00 / $7,581.00 / $14,620.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.48 / $763.10 / $1,053.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.76 / $1,052.40 / $1,578.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.68 / $912.08 / $1,262.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.00 / $881.00 / $881.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.92 / $966.45 / $1,613.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,870.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.01 / $872.49 / $1,347.32