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West Virginia rates for HCPCS 31201

Ethmoidectomy; intranasal, total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.94 / $763.94 / $2,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.60 / $763.94 / $984.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.33 / $879.26 / $957.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.53 / $851.53 / $851.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.99 / $877.99 / $877.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.73 / $1,064.41 / $3,703.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.49 / $816.16 / $1,228.19