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Virginia 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
$625.39 / $4,390.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.75 / $670.92 / $901.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.35 / $609.15 / $835.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.07 / $818.02 / $7,369.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.07 / $794.39 / $1,390.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.72 / $738.86 / $911.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.08 / $816.62 / $1,222.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.00 / $963.00 / $1,384.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.21 / $683.27 / $6,585.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.27 / $873.47 / $6,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,693.00 / $11,671.00 / $21,639.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.11 / $922.28 / $1,406.51