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North Dakota 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
$912.01 / $1,047.13 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,187.76 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,905.46 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,949.84 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,949.84 / $2,511.89