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Alabama rates for HCPCS 30580

Repair Fistula Oromaxillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $1,334.17 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.89 / $747.69 / $988.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,644.41 / $5,636.21 / $7,582.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.61 / $855.80 / $1,032.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.61 / $706.60 / $2,297.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.00 / $4,121.00 / $7,227.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.07 / $594.77 / $965.43