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Connecticut 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
$933.25 / $1,258.93 / $3,388.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $2,041.74 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,862.09 / $2,884.03
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,621.81 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,548.82 / $2,884.03