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Vermont rates for HCPCS 31030

Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.04 / $841.72 / $3,470.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.51 / $796.83 / $2,342.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.37 / $981.73 / $2,342.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.68 / $923.96 / $2,875.46