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Wisconsin 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
$602.56 / $831.76 / $9,332.54
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,621.81 / $4,466.84 / $9,332.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $13,803.84 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $2,344.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $4,265.80 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $7,079.46 / $13,803.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,071.52 / $1,819.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $13,803.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,232.93 / $14,454.40