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Massachusetts 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
$977.47 / $1,122.15 / $2,946.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.58 / $1,916.59 / $9,057.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.94 / $1,796.54 / $3,051.29
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.36 / $1,392.27 / $1,900.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.76 / $2,449.77 / $3,231.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.96 / $1,962.96 / $9,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.75 / $1,722.91 / $3,782.81