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Indiana 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
$912.26 / $962.97 / $1,268.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.00 / $959.38 / $1,323.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.68 / $1,098.82 / $1,373.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.88 / $1,246.80 / $2,106.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.26 / $1,170.21 / $2,046.51