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Missouri rates for HCPCS 31201

Ethmoidectomy; intranasal, total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $5,144.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.22 / $799.55 / $903.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.87 / $882.73 / $1,422.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.72 / $1,090.23 / $1,849.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.55 / $1,380.00 / $5,522.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.47 / $1,274.82 / $5,815.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,216.00 / $2,332.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.72 / $1,055.22 / $1,699.45