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New Hampshire 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
$985.62 / $1,186.13 / $1,356.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.89 / $1,673.47 / $2,494.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.86 / $1,881.02 / $3,021.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.20 / $1,832.88 / $3,448.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.64 / $1,579.40 / $3,192.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.71 / $1,010.05 / $1,594.20