go back

Wyoming 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
$368.19 / $466.93 / $634.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,006.39 / $5,006.39 / $5,006.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.00 / $879.00 / $1,330.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.20 / $781.22 / $1,297.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,607.00 / $2,607.00 / $10,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.38 / $980.02 / $1,663.99