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Connecticut rates for HCPCS 30580

Repair Fistula Oromaxillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.02 / $7,360.00 / $10,260.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.55 / $1,096.83 / $1,493.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,920.00 / $11,936.00 / $15,915.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.65 / $962.88 / $1,142.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.31 / $875.83 / $1,500.79
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.50 / $1,022.81 / $1,022.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,944.00 / $10,417.00 / $16,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.76 / $988.04 / $1,749.57