go back

Ohio 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
$908.68 / $1,005.19 / $1,971.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.15 / $1,018.75 / $1,701.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$939.87 / $1,031.04 / $1,312.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.12 / $1,359.09 / $2,079.94
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$984.17 / $1,429.56 / $2,079.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.37 / $697.24 / $1,203.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.96 / $1,300.79 / $2,128.64