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Massachusetts rates for HCPCS 31201

Ethmoidectomy Intranasal Total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,894.76 / $6,107.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.13 / $759.60 / $1,882.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $3,672.00 / $10,821.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.22 / $1,510.06 / $5,612.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.96 / $1,723.46 / $3,123.61
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.78 / $1,700.52 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.80 / $1,130.68 / $1,890.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.05 / $1,910.73 / $2,546.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $4,288.92 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.94 / $1,694.69 / $5,612.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $8,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.19 / $1,190.35 / $2,502.44