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Washington, DC rates for HCPCS 21040

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

Facilitymedian $4,074 · 10th–90th $490$7,7620%20%10th90th$4,074Professionalmedian $501 · 10th–90th $355$1,1220%10%10th90th$501$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $4,073.80 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $489.78 / $1,122.02
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $1,778.28 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $549.54 / $1,202.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $831.76 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $10,000.00 / $25,118.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $562.34 / $1,174.90