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Alaska rates for HCPCS 21048

Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.63 / $1,153.25 / $4,936.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,563.69 / $3,527.05 / $4,285.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,439.73 / $2,927.67 / $5,943.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,771.25 / $5,223.75 / $6,662.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.33 / $4,903.80 / $7,191.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.64 / $4,937.87 / $6,207.61