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Repair Of An Opening Between The Mouth And Sinus

South Dakota 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 $646 · 10th–90th $490$4,3650%20%10th90th$646Professionalmedian $708 · 10th–90th $490$1,3800%10%10th90th$708$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
$489.78
Median
$645.65
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,698.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,202.26
Typical High
$4,570.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,122.02
Typical High
$1,445.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,288.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,047.13
Typical High
$1,698.24
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,071.52
Typical High
$1,380.38