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Colorado 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
$1,094.72 / $1,151.03 / $1,691.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.46 / $1,630.47 / $2,573.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.88 / $1,655.75 / $2,394.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.58 / $1,652.46 / $2,279.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.00 / $1,699.81 / $2,703.84