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Wisconsin rates for HCPCS 31254

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.91 / $794.66 / $8,243.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.96 / $90.36 / $8,243.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.37 / $355.76 / $899.37
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$171.32 / $603.65 / $1,849.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $11,777.00 / $19,639.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.09 / $845.92 / $2,012.94
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$599.23 / $1,275.79 / $3,019.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.34 / $1,359.46 / $2,192.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.81 / $835.29 / $1,532.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.89 / $480.76 / $897.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.91 / $804.05 / $8,384.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,744.77 / $1,744.77 / $1,744.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.79 / $1,306.21 / $4,389.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $474.32 / $987.19
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.89 / $480.76 / $897.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.25 / $950.10 / $1,551.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.76 / $1,694.76 / $1,694.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.29 / $1,852.52 / $4,486.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.66 / $1,434.55 / $2,632.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.67 / $1,214.83 / $1,812.05