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Vermont 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
Professional
Modifier
Low / Median / High Price
$1,141.32 / $1,482.46 / $1,598.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.87 / $2,176.34 / $2,890.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.79 / $1,907.82 / $2,890.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,650.00 / $1,815.77 / $5,278.58