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North Carolina 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
$355.81 / $1,181.00 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.81 / $457.61 / $901.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.15 / $767.08 / $1,255.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.04 / $530.04 / $2,393.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.92 / $617.64 / $1,158.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.81 / $512.96 / $839.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.00 / $654.00 / $654.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $614.50 / $1,408.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.00 / $6,486.14 / $9,616.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.75 / $573.16 / $1,194.85
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.52 / $2,528.52 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,085.00 / $3,387.60 / $3,904.95