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Montana rates for HCPCS 31253

Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with removal of tissue from frontal sinus, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.40 / $1,124.40 / $1,124.40
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,124.40 / $1,686.60 / $6,635.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.39 / $782.39 / $782.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.34 / $481.68 / $782.39