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Nebraska 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 / $1,000.00 / $3,715.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,548.82 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,238.72 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,995.26 / $9,120.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,570.40 / $3,162.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,290.87 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,905.46 / $2,818.38