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Kansas 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
$1,863.00 / $4,747.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.17 / $1,227.67 / $1,948.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,574.50 / $1,852.35 / $1,852.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.15 / $1,702.09 / $2,620.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,227.67 / $1,948.26 / $11,012.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.29 / $1,614.18 / $9,976.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.16 / $1,498.97 / $2,116.71