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Mississippi 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
$645.00 / $1,250.00 / $2,437.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.61 / $1,205.52 / $2,754.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.52 / $2,920.52 / $2,920.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,038.00 / $2,038.00 / $2,038.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.92 / $3,018.06 / $6,486.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.56 / $2,023.09 / $2,775.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,572.00 / $9,515.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.34 / $1,485.44 / $2,992.38