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Louisiana rates for HCPCS 30580

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

Facilitymedian $3,020 · 10th–90th $832–$7,9430%5%10%10th90th$3,020Professionalmedian $646 · 10th–90th $468–$1,0470%10%10th90th$646$50.0$200.0$1.0K$5.0K$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
$758.58 / $2,570.40 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $630.96 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $8,511.38 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $676.08 / $933.25
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $691.83 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $6,165.95 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $630.96 / $1,071.52