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Montana rates for HCPCS 31201

Ethmoidectomy; intranasal, total

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,230.27 / $1,230.27
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,348.96 / $1,548.82
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,348.96 / $1,548.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,122.02 / $1,288.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $776.25 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,230.27 / $1,905.46