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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])

Professionalmedian $1,148 · 10th–90th $977–$2,5120%10%20%10th90th$1,148$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,122.02 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,348.96 / $1,548.82
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $8,709.64 / $12,882.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,122.02 / $1,412.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,288.25 / $1,621.81
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $977.24 / $1,778.28