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Arizona 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
$1,031.80 / $1,151.03 / $2,421.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.32 / $1,368.36 / $1,710.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.45 / $1,458.17 / $2,336.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.54 / $1,320.48 / $9,976.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.75 / $1,251.95 / $2,428.31