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Michigan rates for HCPCS 21040

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

Facilitymedian $2,884 · 10th–90th $575$5,0120%20%10th90th$2,884Professionalmedian $479 · 10th–90th $355$9330%10%20%10th90th$479$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$575.44 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $457.09 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $831.76 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $512.86 / $794.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $575.44 / $1,047.13
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $512.86 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,786.30 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $512.86 / $707.95