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Removal Of A Noncancerous Growth From Upper Jaw

Kentucky 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 $1,096 · 10th–90th $832$1,8620%10%20%10th90th$1,096$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$977.24
Median
$1,122.02
Typical High
$1,862.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$977.24
Typical High
$1,445.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,905.46
Typical High
$6,606.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$2,398.83