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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
$938.63 / $1,122.15 / $2,744.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.88 / $1,957.93 / $2,732.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.86 / $1,870.70 / $2,783.85
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.90 / $1,606.79 / $1,974.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.66 / $1,710.39 / $2,990.18