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Montana 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
$0.90 / $0.90 / $6,251.61
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.90 / $1,298.70 / $5,584.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.74 / $309.88 / $4,305.25
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$217.17 / $2,016.19 / $17,003.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.43 / $416.43 / $416.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.43 / $416.43 / $416.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.82 / $416.43 / $533.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.82 / $564.85 / $599.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.01 / $378.05 / $545.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.72 / $487.04 / $729.82