go back

Alaska rates for HCPCS 21040

Excision Benign Tumor/Cyst Mandible Encl & Curt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.74 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.38 / $1,312.74 / $2,226.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.67 / $1,274.96 / $2,017.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.67 / $1,783.01 / $3,117.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.38 / $1,360.50 / $2,733.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.50 / $2,032.90 / $2,917.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.95 / $1,892.49 / $3,117.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.00 / $2,096.25 / $3,022.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,486.14 / $6,486.14 / $6,486.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.48 / $2,212.84 / $2,781.86