go back

New Jersey 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
$2,754.23 / $6,606.93 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $660.69 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $870.96 / $1,995.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,230.27
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $19,054.61 / $30,199.52
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $758.58 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $9,120.11 / $21,379.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $602.56 / $1,230.27