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Georgia 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
$1,079.27 / $1,307.75 / $3,406.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.27 / $1,761.47 / $3,027.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.60 / $1,926.15 / $3,126.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.91 / $1,904.57 / $5,401.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.16 / $1,665.24 / $2,564.85