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Delaware rates for HCPCS 30580

Repair Fistula Oromaxillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,816.00 / $5,816.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.93 / $550.83 / $600.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.64 / $695.98 / $959.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.73 / $732.13 / $1,411.53