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Vermont rates for HCPCS 30580

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $758.58 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,949.84