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Arizona rates for HCPCS 21040

Excision of benign tumor or cyst of mandible, by enucleation and/or curettage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $3,617.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.28 / $426.54 / $991.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,211.19 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.24 / $545.17 / $622.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.46 / $528.54 / $888.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.61 / $491.98 / $3,311.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.40 / $569.95 / $3,461.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,149.00 / $3,533.00 / $5,546.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.52 / $498.96 / $938.44