go back

Florida rates for HCPCS 30580

Repair Fistula Oromaxillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.07 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.82 / $528.85 / $747.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.00 / $2,907.91 / $3,461.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.12 / $709.45 / $1,106.61
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,759.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.51 / $439.83 / $773.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $486.67 / $790.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,320.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.08 / $729.20 / $1,270.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.99 / $471.07 / $471.07