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Montana rates for HCPCS 31201

Ethmoidectomy; intranasal, total

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.66 / $749.66 / $4,079.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.26 / $1,238.26 / $1,238.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.74 / $1,238.26 / $1,238.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.55 / $1,238.26 / $1,354.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.02 / $1,167.15 / $1,683.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.53 / $1,275.42 / $2,231.10