go back

Washington, DC 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
$788.40 / $3,999.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.39 / $625.39 / $788.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.07 / $572.01 / $5,478.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.23 / $772.50 / $1,605.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.15 / $1,503.00 / $1,503.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.00 / $4,165.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.28 / $943.09 / $1,790.77