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Missouri rates for HCPCS 31255

Nasal/Sinus Ndsc W/Total Ethoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.98 / $4,778.00 / $9,823.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,778.00 / $7,148.60 / $11,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.69 / $341.26 / $1,243.20
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$698.82 / $796.67 / $2,264.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.00 / $4,449.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.71 / $498.00 / $798.61
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$515.55 / $747.00 / $1,197.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,533.00 / $13,106.00 / $17,811.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.52 / $535.86 / $844.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.58 / $660.25 / $21,814.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.59 / $596.32 / $6,125.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,700.00 / $12,457.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.66 / $487.13 / $1,011.89