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Virginia rates for HCPCS 21030

Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage

Facilitymedian $1,096 · 10th–90th $398$8,3180%5%10%10th90th$1,096Professionalmedian $479 · 10th–90th $355$1,0000%10%10th90th$479$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $3,467.37 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $467.74 / $1,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,413.10 / $9,332.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $524.81 / $891.25
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $478.63 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $549.54 / $954.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $588.84 / $707.95
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $691.83 / $1,096.48
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $575.44 / $870.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $501.19 / $7,413.10
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $616.60 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $12,882.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $524.81 / $870.96