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Maine rates for HCPCS 31237

Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)

Facilitymedian $3,890 · 10th–90th $1–$13,8040%10%10th90th$3,890Professionalmedian $295 · 10th–90th $170–$5750%10%20%10th90th$295$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.93 / $1,584.89 / $6,165.95
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$9,549.93 / $13,803.84 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $281.84 / $467.74
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,659.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $245.47 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$245.47 / $371.54 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $338.84 / $575.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $331.13 / $501.19
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $288.40 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,630.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $331.13 / $524.81