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Michigan 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 / $1,122.02 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $2,238.72 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,318.26 / $2,951.21
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,202.26 / $2,089.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,202.26 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,288.25 / $1,698.24