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Texas 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
$931.20 / $1,040.88 / $1,633.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.14 / $1,076.16 / $1,591.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.80 / $1,413.39 / $2,170.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,057.00 / $9,057.00 / $9,057.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.85 / $1,463.84 / $1,815.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.20 / $1,126.20 / $1,126.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.20 / $1,477.62 / $2,253.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.24 / $1,173.91 / $1,865.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.89 / $947.86 / $1,320.73