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Wisconsin rates for HCPCS 31253

Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.95 / $1,008.11 / $14,482.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,639.97 / $28,327.70 / $28,327.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,712.00 / $12,656.00 / $19,835.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.88 / $1,481.61 / $2,389.79
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.86 / $677.38 / $963.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.37 / $6,241.00 / $13,918.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.86 / $677.38 / $963.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.80 / $1,497.52 / $1,951.94
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,759.35 / $13,759.35 / $13,759.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,073.00 / $9,837.00 / $12,062.00