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Nevada rates for HCPCS 30580

Repair fistula; oromaxillary (combine with 31030 if antrotomy is included)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.94 / $3,042.00 / $6,953.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.63 / $640.89 / $2,527.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,877.00 / $5,379.00 / $8,190.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.45 / $570.70 / $787.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,069.49 / $3,069.49 / $3,069.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.91 / $639.66 / $961.34
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $701.02 / $3,159.35
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,159.35 / $6,537.87 / $6,537.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.22 / $451.21 / $931.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,042.00 / $4,145.00 / $10,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.70 / $729.20 / $1,086.39