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Washington, DC rates for HCPCS 30580

Repair Fistula Oromaxillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $4,100.00 / $6,150.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.83 / $550.83 / $745.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.91 / $496.16 / $6,701.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.06 / $771.89 / $1,414.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.74 / $1,411.95 / $1,411.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.71 / $898.52 / $1,682.29