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Kansas 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
$614.92 / $3,600.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.54 / $465.78 / $743.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.00 / $1,331.90 / $1,472.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.21 / $507.30 / $627.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.34 / $582.60 / $929.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.82 / $646.64 / $3,561.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.40 / $652.42 / $3,461.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $2,902.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.45 / $573.17 / $832.77