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Minnesota rates for HCPCS 30580

Repair Fistula Oromaxillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.83 / $653.57 / $6,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.83 / $653.57 / $901.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,329.27 / $9,458.16 / $20,811.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.32 / $1,390.50 / $2,146.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.13 / $2,157.15 / $5,189.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.59 / $1,810.03 / $2,683.35
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.57 / $1,972.15 / $4,086.08
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.02 / $1,529.09 / $2,463.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.91 / $972.68 / $7,872.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.32 / $1,758.85 / $3,456.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,940.00 / $8,689.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.31 / $1,517.66 / $2,541.58