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Repair Of An Opening Between The Mouth And Sinus

Utah 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 $6,026 · 10th–90th $708$10,2330%10%10th90th$6,026Professionalmedian $646 · 10th–90th $479$1,5140%10%10th90th$646$50.0$200.0$1.0K$5.0K$20.0K

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
$707.95
Median
$4,570.88
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$645.65
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$741.31
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,445.44
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$11,481.54
Typical High
$17,782.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$954.99
Typical High
$1,348.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$891.25
Typical High
$1,548.82
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$812.83
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$676.08
Typical High
$1,122.02