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New York 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 / $2,285.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.79 / $1,175.95 / $2,626.23
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.14 / $1,460.14 / $1,460.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.08 / $1,703.05 / $3,805.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.47 / $1,503.37 / $2,202.77
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.52 / $1,036.36 / $2,108.71
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.65 / $1,642.36 / $3,615.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.63 / $1,340.76 / $3,278.59
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.48 / $1,309.79 / $2,526.88