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Louisiana 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 / $1,493.54 / $2,111.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.93 / $1,479.92 / $2,223.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.91 / $1,607.60 / $2,275.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.47 / $1,366.67 / $2,504.82