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Repair Of An Opening Between The Mouth And Sinus

Michigan 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 $4,898 · 10th–90th $617$6,9180%20%10th90th$4,898Professionalmedian $617 · 10th–90th $447$1,0470%10%20%10th90th$617$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$4,897.79
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$436.52
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$891.25
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,862.09
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,288.25
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$645.65
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$7,762.47
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$977.24