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Illinois 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
$902.45 / $987.79 / $1,901.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,147.00 / $3,147.00 / $3,147.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.48 / $1,402.65 / $2,243.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.94 / $1,670.62 / $3,574.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.23 / $1,241.03 / $1,350.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,527.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.56 / $1,345.44 / $2,460.10