go back

New York 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
$588.84 / $3,311.31 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $7,762.47 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $478.63 / $1,288.25
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $8,912.51
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $616.60 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $676.08 / $1,698.24
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $501.19 / $1,288.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,071.52
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $602.56 / $977.24
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $645.65 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,365.16 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $524.81 / $1,318.26
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $436.52 / $1,778.28
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $1,230.27