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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
$933.25 / $1,258.93 / $3,311.31
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,584.89 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,659.59 / $2,754.23
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,288.25 / $1,778.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,737.80 / $2,818.38
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,548.82 / $9,120.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,584.89 / $2,951.21