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California rates for HCPCS 31267

Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.42 / $6,132.00 / $16,756.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,589.50 / $4,665.50 / $17,580.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.63 / $313.74 / $1,198.83
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$175.06 / $306.12 / $1,391.48
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$163.40 / $163.40 / $324.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,629.00 / $7,362.00 / $15,328.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.42 / $533.82 / $958.65
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$341.96 / $427.45 / $522.65
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $100.00 / $8,181.81
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.14 / $350.92 / $864.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,064.55 / $3,621.74 / $8,532.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.45 / $384.31 / $1,180.09
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.49 / $322.05 / $490.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.49 / $340.43 / $599.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.94 / $13,759.35 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,305.00 / $5,305.00 / $5,305.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.39 / $396.08 / $671.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.48 / $392.41 / $837.93
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,289.00 / $4,289.00 / $4,289.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.36 / $856.36 / $856.36
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.49 / $327.24 / $490.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,800.00 / $7,402.00 / $16,148.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.69 / $332.97 / $929.44