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Removal Of A Noncancerous Growth From Upper Jaw

Massachusetts 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 $1,549 · 10th–90th $1,096$3,4670%10%10th90th$1,549$500.0$1.0K$2.0K$5.0K$10.0K

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
$1,096.48
Median
$1,288.25
Typical High
$3,467.37
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,737.80
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,819.70
Typical High
$3,388.44
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,380.38
Typical High
$1,949.84
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,949.84
Typical High
$3,090.30
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,737.80
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,949.84
Typical High
$3,388.44