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California rates for HCPCS 21029

Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.63 / $5,505.00 / $17,030.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.00 / $5,863.00 / $11,400.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,343.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $2,738.49 / $4,904.76
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.76 / $817.55 / $1,275.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.57 / $911.71 / $1,576.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,336.92 / $4,411.74 / $16,394.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.76 / $936.96 / $1,284.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,384.00 / $15,471.00