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Wisconsin rates for HCPCS 31290

Nasal/Sinus Ndsc Rpr Cerebrsp Fluid Leak Ethmoid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.69 / $2,321.01 / $14,482.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,712.00 / $13,199.00 / $21,753.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,934.95 / $3,429.72 / $5,532.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.72 / $1,538.43 / $2,217.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.15 / $2,272.10 / $7,700.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.72 / $1,538.43 / $2,217.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,239.25 / $3,457.75 / $4,432.89
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,998.84 / $7,998.84 / $7,998.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00