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Arkansas rates for HCPCS 21049

Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesion[s])

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.91 / $1,240.75 / $1,767.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.75 / $1,535.93 / $1,626.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.05 / $1,892.11 / $2,162.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.83 / $1,392.96 / $2,236.25