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Missouri 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
$392.12 / $2,859.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.47 / $420.28 / $611.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.36 / $456.98 / $717.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.92 / $568.23 / $976.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.09 / $612.64 / $3,006.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.94 / $736.69 / $3,461.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,849.00 / $5,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.58 / $618.04 / $1,077.16