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New York 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
$1,094.72 / $1,272.96 / $2,221.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.93 / $1,262.66 / $2,811.90
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.36 / $1,704.36 / $1,704.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.99 / $1,882.16 / $4,352.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.56 / $1,730.58 / $2,536.77
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$991.65 / $1,172.79 / $2,433.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.32 / $1,809.28 / $4,081.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.16 / $1,498.43 / $3,743.99
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.73 / $1,509.76 / $2,916.56