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Alaska rates for HCPCS 21046

Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,881.58 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.38 / $1,129.33 / $4,887.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,524.13 / $3,469.33 / $4,258.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.38 / $4,887.27 / $6,842.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,408.19 / $2,889.84 / $5,866.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,722.50 / $5,172.04 / $6,488.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.38 / $4,887.27 / $6,842.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.58 / $4,870.80 / $7,055.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,775.46 / $4,857.06 / $6,106.01