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Oklahoma 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
$1,000.00 / $3,742.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.95 / $695.18 / $707.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,164.27 / $6,581.89 / $10,479.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.65 / $663.48 / $837.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.60 / $706.66 / $973.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.72 / $838.85 / $7,567.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.59 / $973.20 / $4,788.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,481.00 / $5,407.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.28 / $751.19 / $1,084.59