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Michigan rates for HCPCS 31290

Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $2,570.40 / $2,570.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,073.80 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $3,890.45 / $6,025.60