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West Virginia 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
$1,400.00 / $1,557.88 / $1,557.88
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,087.47 / $5,087.47 / $5,087.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.50 / $589.79 / $642.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.37 / $567.37 / $567.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,929.80 / $54,271.47 / $74,060.32
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$12,254.85 / $20,429.16 / $39,491.07