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Repair Of An Opening Between The Mouth And Sinus

Massachusetts rates for HCPCS 30580

Surgical closure of an abnormal opening that connects the mouth to the air-filled space above the upper back teeth, inside the cheekbone. This opening most often develops after a tooth in the upper jaw is removed and the space where the tooth was ends up connected to the sinus above it.

Facilitymedian $2,818 · 10th–90th $513$5,6230%10%10th90th$2,818Professionalmedian $708 · 10th–90th $468$1,5850%10%10th90th$708$100.0$500.0$2.0K$10.0K$50.0K

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
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$3,388.44
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$1,412.54
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$7,585.78
Typical High
$33,884.42
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$794.33
Typical High
$1,819.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,000.00
Typical High
$1,949.84
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$1,230.27
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$1,621.81
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$7,585.78
Typical High
$33,884.42
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$794.33
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$5,888.44
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$891.25
Typical High
$1,737.80