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Texas 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
$714.00 / $3,102.00 / $10,234.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.99 / $638.11 / $870.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,997.44 / $7,275.80 / $14,454.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.17 / $638.28 / $1,008.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.50 / $461.50 / $461.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,187.68 / $4,187.68 / $4,187.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.10 / $745.23 / $1,213.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,737.60 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,018.00 / $4,669.60 / $5,424.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.34 / $738.44 / $1,460.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.29 / $830.46 / $1,129.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.79 / $622.79 / $622.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.14 / $754.31 / $1,492.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.08 / $774.59 / $1,372.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.40 / $732.83 / $1,132.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.57 / $603.45 / $850.11