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Nebraska 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
$1,318.26 / $6,456.54 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $741.31 / $2,884.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $8,128.31 / $15,848.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $891.25 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,202.26 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $954.99 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,318.26 / $4,786.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,513.56 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,445.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $758.58 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,413.10 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,096.48 / $1,548.82