go back

Michigan 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
$670.91 / $829.71 / $14,208.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.50 / $670.92 / $829.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,088.07 / $4,772.00 / $6,500.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.72 / $774.86 / $1,292.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.25 / $682.83 / $1,016.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.91 / $4,112.00 / $5,756.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.85 / $690.43 / $1,086.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $501.47 / $792.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $8,847.00 / $10,652.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.49 / $804.31 / $1,145.38