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Arizona rates for HCPCS 21048

Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.65 / $985.62 / $1,609.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.72 / $1,189.39 / $1,486.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.13 / $1,277.76 / $2,082.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.32 / $1,182.59 / $9,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.10 / $1,103.76 / $2,091.59