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Tennessee 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
$913.61 / $1,057.98 / $1,610.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.51 / $1,485.17 / $2,297.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.65 / $1,472.21 / $2,239.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,057.00 / $9,057.00 / $9,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.62 / $1,267.69 / $2,259.48