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Wisconsin rates for HCPCS 31288

Nsl/Sinus Ndsc Sphendt Rmvl Tiss Sphenoid Sinus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.83 / $6,461.00 / $17,792.04
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$16,375.65 / $16,375.65 / $16,375.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $11,777.00 / $19,639.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.54 / $697.11 / $1,124.41
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.66 / $342.36 / $1,760.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.57 / $4,017.00 / $13,918.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.66 / $342.36 / $1,760.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.65 / $703.59 / $913.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,759.35 / $13,759.35 / $13,759.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.00 / $10,264.00 / $12,705.00