go back

Nebraska 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
$1,069.65 / $1,069.65 / $6,328.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.72 / $1,753.50 / $2,338.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,912.00 / $2,614.66 / $3,627.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.64 / $2,453.71 / $3,336.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,848.66 / $2,497.19 / $3,627.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.64 / $2,556.33 / $3,195.53