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Repair Of An Opening Between The Mouth And Sinus

Maryland 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 $3,090 · 10th–90th $2,884$12,0230%50%10th90th$3,090Professionalmedian $646 · 10th–90th $457$1,2020%10%10th90th$646$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$1,202.26
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$489.78
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$758.58
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$1,122.02
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$977.24