go back

Kansas rates for HCPCS 30580

Repair fistula; oromaxillary (combine with 31030 if antrotomy is included)

Facilitymedian $4,898 · 10th–90th $813–$11,7490%5%10th90th$4,898Professionalmedian $646 · 10th–90th $457–$1,0000%10%10th90th$646$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $5,495.41 / $12,302.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $602.56 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $691.83 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $912.01 / $11,748.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $812.83 / $4,570.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $4,466.84 / $10,964.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $660.69 / $954.99