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Hawaii 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
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.92 / $551.75 / $652.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.85 / $794.27 / $848.19
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.66 / $960.12 / $1,206.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.41 / $750.16 / $949.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.47 / $842.81 / $1,081.01
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.24 / $2,500.00 / $6,063.00