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Rhode Island rates for HCPCS 30580

Repair Fistula Oromaxillary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.72 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.77 / $518.42 / $691.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.58 / $735.11 / $1,073.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.07 / $800.09 / $1,282.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,599.00 / $7,228.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.35 / $771.31 / $1,375.85