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Massachusetts rates for HCPCS 30580

Repair Fistula Oromaxillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.42 / $2,747.00 / $5,048.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.77 / $545.20 / $1,187.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.31 / $5,063.00 / $16,742.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.60 / $1,133.64 / $4,460.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.64 / $717.13 / $1,265.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.45 / $1,202.66 / $2,276.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.66 / $1,005.86 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.37 / $895.11 / $1,600.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.29 / $1,255.46 / $1,677.75
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $6,204.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.71 / $1,560.01 / $4,460.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.00 / $5,097.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.98 / $987.84 / $2,493.87