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Repair Of An Opening Between The Mouth And Sinus

Washington 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 $1,445 · 10th–90th $851$18,6210%10%20%10th90th$1,445Professionalmedian $871 · 10th–90th $490$1,5490%10%20%10th90th$871$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
$870.96
Median
$1,737.80
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$707.95
Typical High
$1,513.56
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,488.17
Typical High
$31,622.78
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,047.13
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$6,918.31
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,122.02
Typical High
$1,698.24
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,202.26
Typical High
$7,079.46
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,174.90
Typical High
$1,949.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,202.26
Typical High
$1,258.93
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$977.24
Typical High
$1,513.56
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$16,218.10
Typical High
$31,622.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,047.13
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$18,197.01
Typical High
$33,884.42
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$870.96
Typical High
$1,584.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$724.44
Typical High
$912.01