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Missouri 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
$839.51 / $1,003.77 / $1,361.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.07 / $1,261.76 / $1,992.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.48 / $1,391.73 / $2,386.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.69 / $1,492.97 / $9,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.66 / $1,369.01 / $2,274.98