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Texas 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
$847.00 / $2,771.00 / $7,542.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.69 / $1,026.67 / $1,591.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,990.00 / $7,419.33 / $14,745.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.70 / $1,068.92 / $1,567.22
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.30 / $1,955.30 / $2,172.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $878.88 / $884.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.83 / $1,107.83 / $1,107.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.69 / $1,392.56 / $2,150.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,459.52 / $16,394.00 / $16,547.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,057.00 / $9,057.00 / $9,057.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.70 / $1,259.76 / $2,124.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.09 / $1,444.92 / $1,791.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.70 / $1,094.70 / $1,094.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$962.76 / $1,262.45 / $2,224.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.42 / $1,444.16 / $2,203.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,002.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.88 / $1,139.47 / $1,806.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.13 / $935.06 / $1,303.67