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Florida 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
$1,047.46 / $3,401.00 / $10,802.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.84 / $1,205.52 / $1,609.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.00 / $2,907.91 / $3,461.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.43 / $1,595.81 / $2,623.16
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.37 / $1,132.85 / $1,421.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.65 / $907.97 / $1,517.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.38 / $1,353.85 / $2,393.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.74 / $934.74 / $1,190.29