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Repair Of An Opening Between The Mouth And Sinus

Wisconsin 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 $10,233 · 10th–90th $1,288$16,9820%5%10%10th90th$10,233Professionalmedian $741 · 10th–90th $490$2,0890%10%10th90th$741$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
$562.34
Median
$977.24
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$1,288.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$18,197.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,905.46
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,445.44
Typical High
$2,187.76
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,258.93
Typical High
$6,918.31
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$4,677.35
Typical High
$15,135.61
Medica
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,202.26
Typical High
$3,630.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$851.14
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$9,332.54
Typical High
$15,848.93
Network Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,548.82
Typical High
$2,137.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,380.38
Typical High
$2,137.96
Quartz
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$16,595.87
Typical High
$16,595.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,949.84
Typical High
$4,466.84
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,513.56
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,754.23
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$12,022.64
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$954.99
Typical High
$2,398.83