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Removal Of A Noncancerous Growth From Upper Jaw

New Jersey 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 $1,259 · 10th–90th $1,023$6,0260%10%20%10th90th$1,259$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
$1,047.13
Median
$1,258.93
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,698.24
Typical High
$3,630.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$1,737.80
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,412.54
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$2,818.38