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Removal Of A Noncancerous Growth From Upper Jaw

Nebraska 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 $1,862 · 10th–90th $1,072$6,3100%10%20%10th90th$1,862$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
$1,071.52
Median
$1,778.28
Typical High
$6,309.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,778.28
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,570.40
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,290.87
Typical High
$10,000.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,754.23
Typical High
$3,801.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,570.40
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,454.71
Typical High
$3,162.28