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Idaho 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 / $1,329.73 / $2,100.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.57 / $1,573.12 / $1,944.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.22 / $1,756.60 / $2,362.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,407.71 / $1,770.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,689.94 / $1,988.17 / $2,362.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.99 / $1,622.88 / $2,295.21