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New Mexico 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
$478.20 / $5,000.27 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.01 / $461.54 / $585.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.05 / $9,255.19 / $15,081.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.62 / $533.29 / $791.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.47 / $618.45 / $854.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $77.10 / $642.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.93 / $522.80 / $1,015.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $653.17 / $958.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$639.00 / $6,599.00 / $8,422.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.52 / $689.43 / $990.17