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Idaho 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
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $831.76 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,456.54 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,047.13 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $891.25 / $1,148.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,122.02 / $2,238.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,182.57 / $18,620.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,096.48 / $1,348.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $977.24 / $12,589.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $22,387.21 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $831.76 / $1,288.25