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California rates for HCPCS 21048

Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.93 / $1,048.41 / $5,667.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.58 / $1,538.92 / $3,069.05
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.81 / $1,215.57 / $2,728.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.41 / $1,380.44 / $2,987.70
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.52 / $1,180.04 / $1,593.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.05 / $1,312.45 / $2,350.57
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,057.00 / $9,057.00 / $9,057.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.41 / $1,414.66 / $2,851.88
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,516.66 / $3,516.66 / $3,516.66
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.07 / $918.67 / $1,310.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.92 / $1,128.50 / $2,415.42