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Colorado 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
$954.34 / $1,005.19 / $1,470.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.97 / $1,421.30 / $2,243.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.59 / $1,454.45 / $2,118.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.76 / $1,443.10 / $1,990.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.77 / $1,525.00 / $2,509.66