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Idaho 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
$891.25 / $1,621.81 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $489.78 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $4,365.16 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $741.31 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $602.56 / $812.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $676.08 / $1,148.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $794.33 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,182.57 / $18,620.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $758.58 / $1,000.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $660.69 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $5,495.41 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $645.65 / $954.99