go back

Maine rates for HCPCS 21030

Exc Benign Tumor/Cyst Maxl/Zygoma Encl & Curtg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.12 / $495.12 / $628.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.62 / $483.80 / $628.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.68 / $475.84 / $689.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.83 / $660.30 / $964.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.24 / $572.54 / $1,016.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.77 / $483.80 / $628.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.89 / $663.45 / $930.69