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Vermont rates for HCPCS 21030

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.23 / $504.43 / $622.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.09 / $715.79 / $1,121.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.89 / $725.14 / $1,121.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.26 / $693.21 / $2,048.58