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Kansas rates for HCPCS 30580

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,797.00 / $5,939.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.38 / $607.30 / $999.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.66 / $705.66 / $902.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.33 / $774.14 / $1,153.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.94 / $840.18 / $11,012.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.76 / $946.94 / $4,551.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.19 / $783.89 / $1,203.44