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New Mexico 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
$745.51 / $7,838.38 / $8,763.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.15 / $659.56 / $1,021.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.72 / $752.03 / $1,071.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.85 / $879.95 / $1,153.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $539.05 / $967.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.68 / $561.51 / $978.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.28 / $879.95 / $1,262.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,315.00 / $11,259.00 / $12,494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.80 / $1,015.29 / $1,495.25