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Minnesota 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
$549.54 / $691.83 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $691.83 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $11,481.54 / $26,915.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,288.25 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,398.83 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,905.46 / $2,884.03
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,290.87 / $4,570.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,621.81 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,071.52 / $10,471.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,412.54 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,120.11 / $14,791.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,258.93 / $2,344.23