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North Carolina 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
$503.52 / $1,025.81 / $7,968.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.52 / $625.54 / $932.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.13 / $1,048.79 / $1,793.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.29 / $923.78 / $1,626.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.52 / $750.66 / $1,352.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.23 / $829.23 / $1,604.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $699.00 / $1,699.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.00 / $12,216.00 / $19,066.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.77 / $864.72 / $1,787.80
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,737.60 / $4,737.60 / $26,542.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,018.00 / $4,669.60 / $5,424.83