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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
$398.11 / $537.03 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $645.65 / $912.01
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $741.31 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $616.60 / $1,202.26