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Removal Of A Noncancerous Growth From Upper Jaw

Minnesota 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 $2,754 · 10th–90th $1,413$4,3650%10%10th90th$2,754$50.0$200.0$1.0K$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
$1,096.48
Median
$1,258.93
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,884.03
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,388.44
Typical High
$5,128.61
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,884.03
Typical High
$4,570.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,238.72
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,290.87
Typical High
$4,365.16