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Hawaii 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
$985.62 / $985.62 / $1,048.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.73 / $1,277.34 / $1,532.82
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.32 / $1,638.47 / $8,430.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.07 / $1,226.26 / $1,430.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.32 / $1,277.34 / $1,741.89
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.43 / $987.11 / $1,782.23