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Wisconsin rates for HCPCS 31205

Ethmoidectomy Extranasal Total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.59 / $1,948.18 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,740.00 / $4,780.00 / $10,038.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.44 / $2,955.86 / $4,767.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.45 / $1,350.20 / $1,861.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,034.63 / $4,103.00 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.45 / $1,350.20 / $1,861.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,828.45 / $2,813.00 / $3,573.42
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,898.16 / $8,898.16 / $8,898.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00