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Indiana 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
$507.50 / $986.45 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.09 / $593.79 / $708.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,473.00 / $7,200.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.24 / $552.79 / $762.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.50 / $717.84 / $1,055.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.89 / $758.81 / $1,050.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $3,909.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.69 / $713.54 / $1,344.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,699.00 / $10,000.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.50 / $737.40 / $1,163.66