go back

Virginia rates for HCPCS 21045

Excision of malignant tumor of mandible; radical resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,374.09 / $5,412.00 / $11,024.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,685.00 / $17,371.00 / $24,194.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $1,355.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.28 / $1,462.12 / $1,705.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.08 / $1,600.59 / $2,335.94
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.75 / $1,541.88 / $5,142.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,423.00 / $11,475.00 / $21,639.00