go back

Washington rates for HCPCS 31255

Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.65 / $8,617.81 / $28,117.48
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,454.02 / $14,172.37 / $28,117.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.07 / $430.65 / $1,069.09
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$235.88 / $546.99 / $2,795.80
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,296.15 / $19,395.98 / $37,102.31
Asuris Northwest Health
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$18,840.11 / $29,093.97 / $56,285.37
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.52 / $757.77 / $6,125.60
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$496.29 / $932.94 / $1,185.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,448.94 / $3,448.94 / $5,745.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.68 / $665.25 / $968.92
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.00 / $789.56 / $7,779.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,779.83 / $16,834.43 / $39,920.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.50 / $724.98 / $3,871.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.98 / $537.18 / $879.52
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.65 / $625.11 / $770.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.71 / $440.09 / $2,096.73
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.46 / $734.09 / $902.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,577.42 / $19,384.89 / $37,102.31
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$18,866.13 / $29,077.34 / $55,653.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.29 / $633.08 / $852.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,198.00 / $24,758.75 / $39,602.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.95 / $713.31 / $975.94