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Oklahoma 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
$916.00 / $3,683.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.21 / $381.72 / $487.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,240.85 / $6,632.94 / $10,403.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.00 / $490.21 / $629.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,248.01 / $2,248.01 / $2,248.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.32 / $546.15 / $761.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.11 / $584.90 / $4,596.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.47 / $555.36 / $3,461.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.00 / $3,869.00 / $6,161.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.40 / $520.65 / $690.86