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Iowa 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
$2,906.00 / $4,235.59 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.69 / $581.54 / $2,416.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.18 / $1,020.38 / $1,352.71
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.87 / $629.57 / $941.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.54 / $982.80 / $5,564.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.88 / $992.50 / $3,461.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.94 / $1,078.73 / $2,510.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.39 / $975.21 / $1,297.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,711.00 / $5,854.53 / $7,407.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.18 / $756.19 / $1,408.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.80 / $835.00 / $1,058.50