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West Virginia rates for HCPCS 31030

Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.38 / $598.08 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.38 / $598.08 / $748.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.86 / $534.90 / $636.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.79 / $565.79 / $565.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.70 / $857.70 / $857.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.84 / $796.06 / $2,425.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.78 / $662.63 / $1,111.44