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Maine rates for HCPCS 31254

Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)

Facilitymedian $1 · 10th–90th $0–$4,1690%10%20%10th90th$1Professionalmedian $479 · 10th–90th $257–$8130%20%10th90th$479$0.5$5.0$50.0$500.0$5.0K

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
$0.83 / $0.93 / $912.01
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$0.38 / $0.45 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $354.81 / $724.44
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $446.68 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$416.87 / $691.83 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $512.86 / $977.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $489.78 / $831.76
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $380.19 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $457.09 / $954.99