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North Dakota 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
$371.54 / $478.63 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $457.09 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $891.25 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $831.76 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $562.34 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $912.01 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $5,128.61 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $794.33 / $1,071.52