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Maryland 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
$938.63 / $1,030.27 / $2,782.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.40 / $1,113.83 / $1,255.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.77 / $1,448.38 / $2,609.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.61 / $1,335.95 / $2,195.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.67 / $1,239.91 / $2,073.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.61 / $1,190.96 / $1,481.28