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Kansas 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
$647.98 / $3,637.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.07 / $461.66 / $734.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.27 / $342.14 / $371.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.28 / $535.62 / $666.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $624.00 / $624.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.07 / $592.27 / $922.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.07 / $599.13 / $2,046.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.62 / $647.44 / $3,427.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.00 / $3,786.00 / $4,752.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.55 / $568.79 / $795.98