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Tennessee 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
$623.00 / $2,179.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.68 / $453.36 / $751.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,611.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.38 / $604.32 / $930.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.72 / $598.50 / $998.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.52 / $2,560.73 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,085.00 / $3,387.60 / $3,904.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,120.00 / $3,599.00 / $7,035.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.99 / $567.20 / $1,042.18