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Nationwide rates for HCPCS 21047

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,715.35 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,318.26 / $3,019.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $7,413.10 / $16,218.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,513.56 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $3,467.37 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,862.09 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $7,244.36 / $16,218.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,513.56 / $2,754.23