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Iowa rates for HCPCS 21030

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

Facilitymedian $3,090 · 10th–90th $575–$8,5110%10%10th90th$3,090Professionalmedian $501 · 10th–90th $355–$1,2020%10%10th90th$501$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $3,090.30 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $478.63 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $1,071.52 / $1,380.38
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $562.34 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,000.00 / $12,302.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $977.24 / $3,090.30
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $977.24 / $1,230.27
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,000.00 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $8,317.64 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $602.56 / $1,202.26
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $831.76 / $1,047.13