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Alabama rates for HCPCS 30580

Repair fistula; oromaxillary (combine with 31030 if antrotomy is included)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,513.56 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,754.40 / $7,762.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $831.76 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $676.08 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $4,365.16 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $562.34 / $954.99