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Delaware 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 / $1,094.72 / $1,217.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.39 / $1,175.76 / $2,230.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.48 / $1,365.54 / $2,742.62