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Removal Of A Noncancerous Growth From Upper Jaw

Florida rates for HCPCS 21049

Surgery to remove a noncancerous growth or cyst from the upper jaw bone. Because of the size or position of the growth, the surgeon cuts through and removes a section of the jaw bone along with it rather than simply scooping it out.

Rates data updated July 2026.

Professionalmedian $1,230 · 10th–90th $977$1,9500%10%20%10th90th$1,230$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$1,862.09
AvMed
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,513.56
Typical High
$2,511.89
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,230.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,288.25
Typical High
$2,454.71
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,258.93