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California rates for HCPCS 21030

Exc Benign Tumor/Cyst Maxl/Zygoma Encl & Curtg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.91 / $5,812.00 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.37 / $449.70 / $1,540.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,977.00 / $13,012.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.50 / $568.89 / $1,125.97
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $10,063.87
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.40 / $477.02 / $1,084.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.67 / $539.64 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.41 / $567.28 / $1,154.41
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.41 / $437.49 / $683.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.81 / $546.86 / $891.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,519.34 / $2,551.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,085.00 / $3,356.56 / $3,868.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.13 / $576.19 / $839.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.95 / $613.47 / $1,175.57
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.59 / $1,286.59 / $1,641.24
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.98 / $397.71 / $632.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,384.00 / $15,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.02 / $510.34 / $1,159.91