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Alaska rates for HCPCS 21030

Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.44 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.63 / $1,771.39 / $2,200.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.00 / $1,271.94 / $1,990.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.75 / $1,771.39 / $3,080.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.15 / $1,331.91 / $2,708.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.50 / $2,014.05 / $2,897.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.06 / $1,870.42 / $3,080.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.64 / $2,078.69 / $2,994.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.59 / $2,511.19 / $2,762.32