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Missouri 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
$972.05 / $1,163.45 / $1,844.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.38 / $1,424.20 / $2,311.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.30 / $1,625.30 / $2,627.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.34 / $1,697.04 / $9,976.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.66 / $1,552.68 / $2,556.33