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Colorado 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
$746.50 / $4,955.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.88 / $438.32 / $557.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.80 / $517.27 / $822.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,997.28 / $1,997.28 / $6,291.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.76 / $609.89 / $938.36
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.69 / $560.08 / $791.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.39 / $606.75 / $886.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.00 / $4,970.00 / $11,259.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.79 / $694.82 / $1,105.23