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Missouri 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
$630.96 / $3,548.13 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $645.65 / $1,258.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $4,677.35 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $630.96 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $776.25 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,258.93 / $26,302.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,071.52 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,715.35 / $6,165.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,202.26