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Kansas 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
$1,700.00 / $4,919.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.08 / $635.22 / $1,043.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.02 / $3,831.62 / $6,386.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.84 / $748.84 / $973.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.08 / $840.94 / $1,252.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.73 / $868.42 / $11,012.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.94 / $978.96 / $4,788.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.21 / $829.85 / $1,258.74