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Arizona rates for HCPCS 31030

Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.19 / $703.17 / $2,742.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.35 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.12 / $479.87 / $598.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,374.52 / $5,374.52 / $5,374.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.31 / $703.50 / $1,242.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.09 / $776.21 / $6,477.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.75 / $830.70 / $4,788.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.72 / $718.20 / $1,227.73