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Washington, DC 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 / $1,096.48 / $3,090.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $4,365.16 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,584.89 / $2,754.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,290.87 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,513.56 / $2,754.23