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Repair Of An Opening Between The Mouth And Sinus

Montana 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 $1,023 · 10th–90th $794$1,1220%20%10th90th$1,023Professionalmedian $794 · 10th–90th $525$1,6220%10%10th90th$794$100.0$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
Professional
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$954.99
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,122.02
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,122.02
Providence
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$776.25
Typical High
$1,047.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$724.44
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$954.99
Typical High
$1,548.82