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Wisconsin rates for HCPCS 31201

Ethmoidectomy; intranasal, total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,584.89 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,949.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,897.79 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,548.82 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,398.83 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,454.71 / $2,818.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $5,128.61 / $9,549.93
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,905.46 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,235.94 / $6,165.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,288.25 / $5,754.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,000.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,778.28 / $2,884.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,370.32 / $5,370.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $3,715.35 / $5,623.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $4,365.16 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,073.80 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,174.90 / $3,235.94