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Michigan rates for HCPCS 31201

Ethmoidectomy Intranasal Total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.09 / $4,933.00 / $5,757.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.53 / $1,011.09 / $1,049.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,582.55 / $3,014.61 / $4,106.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.31 / $1,106.54 / $1,921.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.70 / $883.69 / $1,649.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.32 / $4,933.00 / $5,757.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.32 / $861.18 / $1,334.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.66 / $581.56 / $939.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.00 / $4,857.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.93 / $926.93 / $1,269.78