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Iowa 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])

Facilitymedian $3,631 · 10th–90th $1,950–$12,5890%10%10th90th$3,631Professionalmedian $1,479 · 10th–90th $1,122–$3,3110%20%10th90th$1,479$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,235.94 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,348.96 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,818.38 / $3,548.13
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,737.80 / $4,677.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,311.31 / $14,791.08
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,511.89 / $10,000.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,019.95 / $3,311.31
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,630.27 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,964.78 / $15,488.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,862.09 / $3,630.78
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,344.23 / $2,754.23