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New Hampshire rates for HCPCS 31030

Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.92 / $556.84 / $1,854.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.92 / $845.68 / $1,185.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.24 / $1,269.45 / $1,961.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.51 / $1,215.18 / $2,217.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.72 / $1,306.31 / $2,555.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.42 / $517.39 / $620.87