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Indiana 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
$933.49 / $2,318.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.19 / $944.82 / $1,260.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,310.00 / $6,340.00 / $15,727.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.61 / $950.77 / $1,312.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.22 / $1,174.19 / $1,354.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.22 / $1,038.50 / $1,354.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,909.74 / $3,909.74 / $4,634.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.20 / $1,214.65 / $2,077.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,472.00 / $10,113.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.50 / $1,154.51 / $2,007.64