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Indiana 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
$549.54 / $4,897.79 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $446.68 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $19,952.62 / $27,542.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $436.52 / $707.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $371.54 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $602.56 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $489.78 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $467.74 / $831.76