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Kentucky 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
$966.96 / $1,110.20 / $1,272.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.87 / $976.71 / $1,525.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.18 / $1,478.61 / $2,130.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.33 / $1,640.25 / $2,329.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,384.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.42 / $1,500.95 / $2,439.60